Search › New Jersey › 1041C0700X
Kristen Petullo, LCSW
NPI 1952540858 · on the registry since 2009 · sole proprietor
Practice
- Address
- 169 Chestnut St
Nutley, NJ 07110 - Phone
- (973) 951-2326
- Clinicians at this address
- 14
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Licence states on file
- NJ
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-03-10
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Jersey