Provider Demographics
NPI:1982806717
Name:KELLEY, HENRY FRANCIS (PSYD)
Entity Type:Individual
Prefix:
First Name:HENRY
Middle Name:FRANCIS
Last Name:KELLEY
Suffix:
Gender:M
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:MGH CHELSEA HEALTHCARE CTR.
Mailing Address - Street 2:151 EVERETT AVENUE
Mailing Address - City:CHELSEA
Mailing Address - State:MA
Mailing Address - Zip Code:02150
Mailing Address - Country:US
Mailing Address - Phone:617-884-8300
Mailing Address - Fax:
Practice Address - Street 1:MGH CHELSEA HEALTHCARE CTR.
Practice Address - Street 2:151 EVERETT AVENUE
Practice Address - City:CHELSEA
Practice Address - State:MA
Practice Address - Zip Code:02150
Practice Address - Country:US
Practice Address - Phone:617-884-8300
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-06-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program