| Doctor Name: | KIMBERLY ANN FERLAUTO |
| NPI Number: | 1437406584 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MA, NCC, LPC |
| License Number: | 37PC00449900 |
| Business Practice Address: | 786 Mountain Blvd Suite 102 Watchung, NJ - 070696268 |
| Business Phone Number: | 9734336609 |
| Business Fax Number: | |
| Mailing Address: | 10 Edison Dr, SUMMIT |
| State: | NJ |
| Postal Code: | 079014222 |
| Phone Number: | 9734336609 |
| Fax Number: | |
| NPI Enumeration Date: | 08/08/2012 |
| NPI Last Update Date: | 08/08/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 37PC00449900 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |