Keila Medina, NCSP

NPI #1053117093 in Tenafly, New Jersey

Provider Information

NPI Number: 1053117093
Entity Type: Individual
Name: Keila Medina, NCSP
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Psychologist - School
Credential: NCSP
Enumeration Date: Feb 20, 2025
Last Updated: Feb 27, 2025

Practice Location

Address: 400 TENAFLY RD UNIT 1092
City: Tenafly
State: New Jersey
ZIP Code: 07670-7052
Phone: (201) 777-4557

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community/Behavioral Health	251S00000X
Psychologist - School — School	103TS0200X	Primary

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