Individual
DR. KENNETH MATHISEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
407 OMNI DR, HILLSBOROUGH, NJ 08844-4527
(908) 359-0760
(908) 359-5356
Mailing address
407 OMNI DR, HILLSBOROUGH, NJ 08844-4527
(908) 359-0760
(908) 359-5356
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
35SI00199600
NJ
Other
Enumeration date
02/27/2007
Last updated
07/08/2007
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