Individual
STEVEN KENNELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
92 NASSAU ST, PRINCETON, NJ 08542-4530
(609) 924-5500
Mailing address
92 NASSAU ST, PRINCETON, NJ 08542-4530
(609) 924-5500
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
3995
NJ
103T00000X
Psychologist
Primary
3995
NJ
Other
Enumeration date
03/22/2014
Last updated
03/22/2014
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