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Contact Information

KIMBERLY A RENNA
28 SYCAMORE DR
HAZLET, NJ07730-1833
 Phone: 908-902-6593
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Mental Health

101YM0800X
 

Counseling

103TC1900X 62 Psychologist, Clinical
 

Prescribing (Medical)

103TP0016X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for KIMBERLY A RENNA · (Female)

NPI Number 1811454127
Status Active
Credentials
Entity Individual
Enumeration date 02/22/2019
Last updated 02/22/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • NJ Medicaid 2949511045
  • NJ Other Q1S1255211850010 AMERIHEALTH
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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