Individual
DR. KELLY ANN MERCORELLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
554 BLOOMFIELD AVE STE 401, BLOOMFIELD, NJ 07003-3307
(973) 771-3300
Mailing address
561 ROUTE 9W, PIERMONT, NY 10968-1116
(845) 680-1400
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-16-24778
NY
174400000X
Specialist
1032684161
NY
Other
Enumeration date
07/05/2017
Last updated
07/21/2022
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