| Doctor Name: | MS. KATHLEEN JOAN MENCHER |
| NPI Number: | 1225221781 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | APRN, BC |
| License Number: | |
| Business Practice Address: | 464 Academy St South Orange, NJ - 070791839 |
| Business Phone Number: | 9733788065 |
| Business Fax Number: | 9733788065 |
| Mailing Address: | 464 Academy St, SOUTH ORANGE |
| State: | NJ |
| Postal Code: | 070791839 |
| Phone Number: | 9733788065 |
| Fax Number: | 9733788065 |
| NPI Enumeration Date: | 08/19/2007 |
| NPI Last Update Date: | 08/19/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WP0809X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Psych/Mental Health, Adult |
| Taxonomy Definition: | |