Doctor Name: | MRS. KEMLEY LAHRMER-WHITESIDE |
NPI Number: | 1962807479 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MBA, MA |
License Number: | |
Business Practice Address: | 770 Woodlane Rd Mt Holly, NJ - 080603804 |
Business Phone Number: | 6092675928 |
Business Fax Number: | |
Mailing Address: | 1056 Beckley Dr, WILLIAMSTOWN |
State: | NJ |
Postal Code: | 080948808 |
Phone Number: | 2158501823 |
Fax Number: | |
NPI Enumeration Date: | 10/27/2014 |
NPI Last Update Date: | 10/27/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |