Kelly Siderio
NPI #1144928011 in Bala Cynwyd, Pennsylvania
Provider Information
- NPI Number
- 1144928011
- Entity Type
- Individual
- Name
- Kelly Siderio
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Mental Health
- Enumeration Date
- Feb 21, 2023
- Last Updated
- Feb 21, 2023
Practice Location
- Address
- 305 PENBREE TER
- City
- Bala Cynwyd
- State
- Pennsylvania
- ZIP Code
- 19004-2333
- Phone
- (267) 974-7954
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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