Doctor Name: | KATHLEEN ANN TOBIN |
NPI Number: | 1033496542 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PH.D. |
License Number: | 018845-1 |
Business Practice Address: | 17 Senior St New Brunswick, NJ - 089018534 |
Business Phone Number: | 7329327884 |
Business Fax Number: | |
Mailing Address: | 212 Village Rd E, WEST WINDSOR |
State: | NJ |
Postal Code: | 085502417 |
Phone Number: | 6318967645 |
Fax Number: | |
NPI Enumeration Date: | 11/11/2011 |
NPI Last Update Date: | 11/11/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | 018845-1 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NY |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |