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Individual

MS. KELLY ROTELLA WALTERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHD

Contact information

Practice address
5 WALTER E FORAN BLVD STE 2002, FLEMINGTON, NJ 08822-4674
(908) 872-3342
Mailing address
5 WALTER E FORAN BLVD STE 2002, FLEMINGTON, NJ 08822-4674
(908) 872-3342

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
103TC0700X
Clinical Psychologist
Primary
35SI00528600
NJ

Other

Enumeration date
11/09/2010
Last updated
11/12/2019
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