Individual
DR. KENDAHL SHORTWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
25 MAIN ST, SPARTA, NJ 07871-1937
(908) 246-0553
Mailing address
136 GLEN RD EXT, HIGHLAND LAKES, NJ 07422-1919
(201) 463-4911
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6459
NJ
Other
Enumeration date
07/12/2021
Last updated
07/12/2021
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