Individual
KENNETH FOTI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
195 MAIN ST FL 2, METUCHEN, NJ 08840-2774
(732) 324-4508
Mailing address
195 MAIN ST FL 2, METUCHEN, NJ 08840-2774
(732) 324-4508
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
35SI00235600
NJ
Other
Enumeration date
09/15/2005
Last updated
09/02/2009
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