Individual
DR. CARYN J KENNELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
2571 MAIN ST, LAWRENCEVILLE, NJ 08648-1657
(609) 947-2116
Mailing address
247 CONCORD PL, PENNINGTON, NJ 08534-5265
(609) 947-2116
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
3997
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
052287
MEDICARE ID
NJ
Enumeration date
01/15/2008
Last updated
07/21/2022
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