Individual
DR. KENDRA J HALUSKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
254 EASTON AVE, MOB 2ND FLOOR, ST. PETERS UNIVERSITY HOSPITAL, NEW BRUNSWICK, NJ 08907
(732) 745-8600
(732) 937-9428
Mailing address
254 EASTON AVE, MOB 2ND FLOOR, ST. PETERS UNIVERSITY HOSPITAL, NEW BRUNSWICK, NJ 08907
(732) 745-8600
(732) 937-9428
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
017494
NY
103T00000X
Psychologist
Primary
355100490300
NJ
103TC0700X
Clinical Psychologist
017494-1
NY
Other
Enumeration date
05/15/2008
Last updated
12/05/2012
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