Individual
KATHLEEN A VILARDI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
68 FORMAN ST, FAIR HAVEN, NJ 07704
(732) 804-0893
Mailing address
31 DE NORMANDIE AVE, FAIR HAVEN, NJ 07704
(732) 804-0893
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
35SI00319600
NJ
Other
Enumeration date
12/28/2007
Last updated
12/28/2007
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