Dwyer, Kathleen M.
Dwyer, Kathleen M. is an individual health care provider with primary practice located at 708 Park Ave , Laurel Springs NJ 08021-3132. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Dwyer, Kathleen M. can be contacted via phone (856) 296-8794.Contact Information
Primary practice address
708 Park Ave
Laurel Springs NJ 08021-3132
Phone: (856) 296-8794
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X |
Profile Details
| NPI number | 1932644226 |
|---|---|
| LBN Legal business name | Dwyer, Kathleen M. |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 22nd, 2016 |
| Last updated | Dec 22nd, 2016 - about 10 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1932644226 | NPPES |
| New Jersey | MEDICAID | 111419642 |
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