Individual
DR. MARYLOUISE E KERWIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
201 MULLICA HILL RD, ROBINSON HALL, GLASSBORO, NJ 08028-1700
(856) 256-5470
(856) 256-4892
Mailing address
201 MULLICA HILL RD, ROBINSON HALL, GLASSBORO, NJ 08028-1700
(856) 256-5470
(856) 256-4892
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
35SI00381100
NJ
103T00000X
Psychologist
Primary
35SI00381100
NJ
103T00000X
Psychologist
PS006790L
PA
103TA0400X
Addiction (Substance Use Disorder) Psychologist
35SI00381100
NJ
103TA0400X
Addiction (Substance Use Disorder) Psychologist
PS006790L
PA
103TB0200X
Cognitive & Behavioral Psychologist
35SI00381100
NJ
103TB0200X
Cognitive & Behavioral Psychologist
PS006790L
PA
103TC2200X
Clinical Child & Adolescent Psychologist
35SI00381100
NJ
103TC2200X
Clinical Child & Adolescent Psychologist
PS006790L
PA
103TM1800X
Intellectual & Developmental Disabilities Psychologist
35SI00381100
NJ
103TM1800X
Intellectual & Developmental Disabilities Psychologist
PS006790L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0480380
—
NJ
Enumeration date
07/04/2006
Last updated
01/05/2016
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