Kelly Cantisano
Clinical Nurse Specialist, Psych/Mental Health, Adult in Ewing, NJ. Individual provider (NPI-1).
NPI number1265833859
StatusActive
Last updated in NPPESSep 15, 2014
Details
- NPI
- 1265833859
- Entity type
- Individual (NPI-1)
- Name
- Kelly Cantisano
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 15, 2014
- Last updated
- Sep 15, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 364SP0809X | Clinical Nurse Specialist, Psych/Mental Health, Adult | 26NJ00005800 | NJ | Yes |
Practice location
830 Bear Tavern RdMedop Behavioral Health Associates Of Nj PC
Ewing, NJ 08628-1020
Phone 973-800-2655
Mailing address
830 Bear Tavern RdMedop Behavioral Health Associates Of Nj PC
Ewing, NJ 08628-1020
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