Organization
KATHLEEN MCNULTY PHD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHLEEN MCNULTY PHD (OWNER)
(551) 580-0571
Entity
Organization
Contact information
Practice address
24 GODWIN AVE STE 1-6, MIDLAND PARK, NJ 07432-1927
(201) 299-4001
(941) 916-9902
Mailing address
24 GODWIN AVE STE 1-6, MIDLAND PARK, NJ 07432-1927
(201) 299-4001
(941) 916-9902
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
103T00000X
PHD
—
Enumeration date
06/05/2022
Last updated
01/23/2023
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