Mr. Tyler J Kennedy, MA, LAC
Counselor, Mental Health in Florham Park, New Jersey
1003582990- Practice location
- 32 Midwood Dr, Florham Park, NJ 07932-1811
- Phone
- 973-865-5468
- Fax
- —
- Last updated
- August 19, 2021
Tyler Jules Kennedy is a Counselor, Mental Health based in Florham Park, NJ. Tyler Jules Kennedy practices in Florham Park, NJ and has the professional credentials of MA, LAC. The NPI Number for Tyler Jules Kennedy is 1003582990. The current practice location address for Tyler Jules Kennedy is 32 Midwood Dr, Florham Park, NJ 07932-1811 and can be reached out via phone at 973-865-5468.
Provider Profile Details
- NPI Number
- 1003582990
- Provider Name
- Tyler Jules Kennedy
- Credential
- MA, LAC
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 32 Midwood Dr, Florham Park, NJ 07932-1811
- Phone Number
- 973-865-5468
- Primary Taxonomy
- Counselor, Mental Health · 101YM0800X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- August 19, 2021
- Last Update Date
- August 19, 2021
- Certification Date
- August 19, 2021
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 32 Midwood Dr
Florham Park, NJ 07932-1811 - City
- Florham Park
- State
- New Jersey
- Zip
- 07932-1811
- Phone Number
- 973-865-5468
Provider Business Mailing Address Details
- Address
- 114 Ploch RD
Clifton, NJ 07013-1471 - City
- Clifton
- State
- NJ
- Zip
- 07013-1471
- Phone Number
- 973-865-5468
License Information
- Taxonomy
- Counselor, Mental Health · 101YM0800X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Mr. Tyler J Kennedy, MA, LAC?
The NPI number of Mr. Tyler J Kennedy, MA, LAC is 1003582990. It was assigned on August 19, 2021 and is currently active in the NPPES registry.
What is the specialty of Mr. Tyler J Kennedy, MA, LAC?
Mr. Tyler J Kennedy, MA, LAC is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X).
Where does Mr. Tyler J Kennedy, MA, LAC practice?
The practice location is 32 Midwood Dr, Florham Park, NJ 07932-1811. The office can be reached at 973-865-5468 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1003582990 directly on the NPPES registry website.