Individual
DR. KENNETH WESLEY GATES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
1247 SUSSEX TPKE, RANDOLPH, NJ 07869-2943
(973) 540-9586
(973) 895-1383
Mailing address
1247 SUSSEX TPKE, RANDOLPH, NJ 07869-2943
(973) 540-9586
(973) 895-1383
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
2092
NJ
Other
Enumeration date
04/30/2007
Last updated
07/08/2007
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