Individual
KAYLA VANESSA OWENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
190 ROUTE 18, EAST BRUNSWICK, NJ 08816-1407
(732) 994-3456
Mailing address
190 ROUTE 18 STE 203, EAST BRUNSWICK, NJ 08816-1407
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
35SI00740200
NJ
Other
Enumeration date
07/19/2021
Last updated
03/07/2024
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