| Doctor Name: | ALICE C. KEARNEY |
| NPI Number: | 1033305214 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | 44SC05207600 |
| Business Practice Address: | 315 Claremont Ave Montclair, NJ - 070422218 |
| Business Phone Number: | 2017469052 |
| Business Fax Number: | |
| Mailing Address: | 315 Claremont Ave, MONTCLAIR |
| State: | NJ |
| Postal Code: | 070422218 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 09/20/2007 |
| NPI Last Update Date: | 09/20/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 44SC05207600 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |