Lisa Fennelly
NPI #1780191270 in East Brunswick, New Jersey
Provider Information
- NPI Number
- 1780191270
- Entity Type
- Individual
- Name
- Lisa Fennelly
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Marriage & Family Therapist
- Enumeration Date
- Jan 5, 2018
- Last Updated
- Feb 18, 2022
Practice Location
- Address
- 15 W PROSPECT ST
- City
- East Brunswick
- State
- New Jersey
- ZIP Code
- 08816-2161
- Phone
- (732) 254-0600
Specialties & Taxonomy Codes
| Specialty |
|---|
| Marriage & Family Therapist |
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