Individual
DR. JOHN J HENNESSY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D
Contact information
Practice address
4 SWIMMING RIVER RD, SUITE 1 A, LINCROFT, NJ 07738-1727
(732) 747-0786
(732) 244-8793
Mailing address
4 SWIMMING RIVER RD, SUITE 1 A, LINCROFT, NJ 07738-1727
(732) 747-0786
(732) 244-8793
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
35S100203400
NJ
Other
Enumeration date
05/29/2007
Last updated
07/08/2007
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