MS. MARY KATHRYN GAESTEL


Address: 27 Merrill Rd, Clifton, NJ 07012-1619
Phone: 9739283084

MS. MARY KATHRYN GAESTEL (NPI# 1063722502) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1063722502
Entity Type Individual
Full Name MS. MARY KATHRYN GAESTEL
Credential MA
Practice Address 27 Merrill Rd
Clifton
NJ 07012-1619
Practice Telephone 9739283084
Mailing Telephone 9739283084
Enumeration Date 2010-10-18
Last Update Date 2010-10-18
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TS0200X Psychologist
Specialization: School
786691 NJ Behavioral Health & Social Service Providers

Office Location

Street Address 27 MERRILL RD
City CLIFTON
State NJ
Zip Code 07012-1619

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Taxonomy Information

Taxonomy Code 103TS0200X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization School

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
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Competitor

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City CLIFTON
Zip Code 07012

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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