Organization
KINGLEY HEALTH SERVICES NJ LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LORI KINGLEY (VICE PRESIDENT)
(908) 903-1670
Entity
Organization
Contact information
Practice address
530 GREEN ST, ISELIN, NJ 08830-2654
(732) 283-1900
(908) 903-1672
Mailing address
20 THISTLE LN, WARREN, NJ 07059-5564
(908) 903-1670
(908) 903-1672
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
103TC0700X
Clinical Psychologist
Primary
—
—
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
12/02/2009
Last updated
12/02/2009
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