| Kerri Scully Lpc Llc | |
|
526 Newark Pompton Tpke Wayne NJ 07470-6643 | |
| (201) 650-3888 | |
| Not Available |
| Full Name | Kerri Scully Lpc Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 526 Newark Pompton Tpke, Wayne, New Jersey |
| Authorized Official Name and Position | Kerri Scully (OWNER) |
| Authorized Official Contact | 9739634156 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kerri Scully Lpc Llc 526 Newark Pompton Tpke Wayne NJ 07470-6643 Ph: (201) 650-3888 | Kerri Scully Lpc Llc 526 Newark Pompton Tpke Wayne NJ 07470-6643 Ph: (201) 650-3888 |
| NPI Number | 1104560283 |
|---|---|
| Provider Enumeration Date | 04/25/2022 |
| Last Update Date | 04/25/2022 |
| Certification Date | 04/25/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104560283 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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