Individual
DR. KRISTINE CANGELOSI KEANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
220 JACK MARTIN BLVD STE E2, BRICK, NJ 08724-7772
(732) 920-3434
(732) 920-2447
Mailing address
220 JACK MARTIN BLVD STE E2, BRICK, NJ 08724-7772
(732) 920-3434
(732) 920-2447
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
35SI00424500
NJ
103TC0700X
Clinical Psychologist
35SI00424500
NJ
Other
Enumeration date
07/08/2005
Last updated
01/05/2023
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