Individual
DR. KERRY M. FARRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ED.D.
Contact information
Practice address
1405 3RD AVE, SUITE 4, SPRING LAKE, NJ 07762-1450
(732) 974-6881
Mailing address
PO BOX 129, SPRING LAKE, NJ 07762-0129
(732) 974-6881
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
35SI00326700
NJ
Other
Enumeration date
01/04/2007
Last updated
07/08/2007
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