| Kt Psychotherapy Llc | |
|
16 Allison Dr East Brunswick NJ 08816-4474 | |
| (732) 619-1811 | |
| Not Available |
| Full Name | Kt Psychotherapy Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 16 Allison Dr, East Brunswick, New Jersey |
| Authorized Official Name and Position | Katie Kena (OWNER) |
| Authorized Official Contact | 7326191811 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kt Psychotherapy Llc 16 Allison Dr East Brunswick NJ 08816-4474 Ph: (732) 619-1811 | Kt Psychotherapy Llc 16 Allison Dr East Brunswick NJ 08816-4474 Ph: (732) 619-1811 |
| NPI Number | 1841858222 |
|---|---|
| Provider Enumeration Date | 05/31/2019 |
| Last Update Date | 03/26/2024 |
| Certification Date | 03/26/2024 |
| Medicare PECOS PAC ID | 3678807591 |
|---|---|
| Medicare Enrollment ID | O20190627000026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841858222 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Katie Tracy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902355274 PECOS PAC ID: 6608156484 Enrollment ID: I20161214000116 |
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