Individual
DR. KATHLEEN MCNULTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.C.S.W., PHD
Contact information
Practice address
24 GODWIN AVE, MIDLAND PARK, NJ 07432-1927
(201) 444-4010
Mailing address
453 WILDWOOD RD, NORTHVALE, NJ 07647-1219
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
35S100513600
NJ
1041C0700X
Clinical Social Worker
44SC00840400
NJ
106H00000X
Marriage & Family Therapist
—
—
Other
Enumeration date
02/23/2007
Last updated
03/04/2021
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