Individual
DR. AMY LYNN KAVANAUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
123 HOW LN, NEW BRUNSWICK, NJ 08901-3653
(732) 448-1000
Mailing address
3 TALLY HO TRAIL, HILLSBOROUGH, NJ 08844
(908) 310-8242
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
35SI00471000
NJ
Other
Enumeration date
04/22/2019
Last updated
04/22/2019
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