Provider Demographics
NPI:1982168993
Name:BRIGGS, KELLY CATHERINE (MA)
Entity Type:Individual
Prefix:MRS
First Name:KELLY
Middle Name:CATHERINE
Last Name:BRIGGS
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:KELLY
Other - Middle Name:CATHERINE
Other - Last Name:BURTON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA
Mailing Address - Street 1:81 HIGHLAND AVE
Mailing Address - Street 2:
Mailing Address - City:SALEM
Mailing Address - State:MA
Mailing Address - Zip Code:01970-2768
Mailing Address - Country:US
Mailing Address - Phone:978-354-4550
Mailing Address - Fax:978-745-9021
Practice Address - Street 1:81 HIGHLAND AVE
Practice Address - Street 2:
Practice Address - City:SALEM
Practice Address - State:MA
Practice Address - Zip Code:01970-2768
Practice Address - Country:US
Practice Address - Phone:978-354-4550
Practice Address - Fax:978-745-9021
Is Sole Proprietor?:No
Enumeration Date:2019-01-23
Last Update Date:2019-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health