Kerwin, Marylouise E

Kerwin, Marylouise E is an sole proprietor health care provider with primary practice located at 201 Mullica Hill Rd Robinson Hall, Glassboro NJ 08028-1700. She recently has 6 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavioral Analyst, Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Cognitive & Behavioral, Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities. Behavioral Health & Social Service Providers / Psychologist is her primary health care specialty. Kerwin, Marylouise E can be contacted via phone (856) 256-5470.

Contact Information

Primary practice address
201 Mullica Hill Rd Robinson Hall Glassboro NJ 08028-1700
Phone: (856) 256-5470
Fax: (856) 256-4892
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 35SI00381100 New Jersey
Behavioral Health & Social Service Providers / Psychologist 103T00000X PS006790L Pennsylvania
Behavioral Health & Social Service Providers / Psychologist 103T00000X 35SI00381100 New Jersey
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 103TA0400X PS006790L Pennsylvania
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 103TA0400X 35SI00381100 New Jersey
Behavioral Health & Social Service Providers / Cognitive & Behavioral 103TB0200X PS006790L Pennsylvania
Behavioral Health & Social Service Providers / Cognitive & Behavioral 103TB0200X 35SI00381100 New Jersey
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X 35SI00381100 New Jersey
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X PS006790L Pennsylvania
Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities 103TM1800X PS006790L Pennsylvania
Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities 103TM1800X 35SI00381100 New Jersey

Profile Details

NPI number 1205866324
LBN Legal business name Kerwin, Marylouise E
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 4th, 2006
Last updated Jan 5th, 2016 - about 9 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1205866324 NPPES
New Jersey MEDICAID 0480380

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