Individual
DR. KATHLEEN GRADY WALDRON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D APN
Contact information
Practice address
117 - 119 ROOSEVELT AVE., UCPC BEHAVIORAL HEALTHCARE, PLAINFIELD, NJ 07060
(908) 756-6870
(908) 756-5566
Mailing address
117 - 119 ROOSEVELT AVE., UCPC BEHAVIORAL HEALTHCARE, PLAINFIELD, NJ 07060
(908) 756-6870
(908) 756-5566
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
355100358000
NJ
163WP0808X
Psychiatric/Mental Health Registered Nurse
26NR05725200
NJ
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist
26NC05725200
NJ
Other
Enumeration date
04/18/2007
Last updated
07/29/2015
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