Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. KELLY BEAUDRY KLASTAVA, LCSW-C
Active Sole ProprietorMRS. KELLY BEAUDRY KLASTAVA, LCSW-C is a Community/Behavioral Health healthcare provider located in ABERDEEN, Maryland. NPI 1952662520 is currently active in the NPPES registry. Verify at CMS.
Community/Behavioral Health · ABERDEEN, MD
Registration Details
- NPI Number
- 1952662520
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 31, 2012 (14.22251719906 yrs)
- Last Updated
- Nov 13, 2013
- License
-
16610 (MD)
- Sole Proprietor
- Yes
Practice Information
- Address
-
135 N PARKE STABERDEEN, MD, 210012428Browse MD providers · Browse ZIP 21001
- Phone
- 4436251600
- Primary Specialty
-
Community/Behavioral Health
251S00000X
Other Community/Behavioral Health Providers in ABERDEEN, MD
| Name | Credential | NPI |
|---|---|---|
| COURTNIE MARVEL MASSEY | — | 1689073124 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.