| Doctor Name: | KIM LEE HART |
| NPI Number: | 1043500200 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LCADC |
| License Number: | 37LC00173200 |
| Business Practice Address: | 1901 Hwy 71 Ste 3c Wall Township, NJ - 077193278 |
| Business Phone Number: | 7325566290 |
| Business Fax Number: | 7325566015 |
| Mailing Address: | 1901 Hwy 71 Ste 3c, WALL TOWNSHIP |
| State: | NJ |
| Postal Code: | 077193278 |
| Phone Number: | 7325566290 |
| Fax Number: | 7325566015 |
| NPI Enumeration Date: | 04/08/2011 |
| NPI Last Update Date: | 12/06/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 37LC00173200 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NJ |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |