Dr Marylouise E Kerwin, PHD is a
Psychologist based in Glassboro, New Jersey. Dr Marylouise E Kerwin is licensed to practice in New Jersey (license number 35SI00381100) and her current practice location is
201 Mullica Hill Rd, Robinson Hall, Glassboro, New Jersey. She can be reached at her office (for appointments etc.) via phone at
(856) 256-5470.
NPI number for Dr Marylouise E Kerwin is 1205866324 and her current mailing address is 201 Mullica Hill Rd, Robinson Hall, Glassboro, New Jersey. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1205866324.
Healthcare Provider's Profile
| Full Name | Dr Marylouise E Kerwin |
|---|
| Gender | Female |
|---|
| Speciality | Psychologist |
|---|
| Location | 201 Mullica Hill Rd, Glassboro, New Jersey |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1205866324
- Provider Enumeration Date: 07/04/2006
- Last Update Date: 01/05/2016
Medical Identifiers
Medical identifiers for Dr Marylouise E Kerwin such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1205866324 | NPI | - | NPPES |
| 0480380 | Medicaid | NJ | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103T00000X | Psychologist | PS006790L (Pennsylvania) | Secondary |
| 103T00000X | Psychologist | 35SI00381100 (New Jersey) | Primary |
| 103TA0400X | Psychologist - Addiction (substance Use Disorder) | PS006790L (Pennsylvania) | Secondary |
| 103TA0400X | Psychologist - Addiction (substance Use Disorder) | 35SI00381100 (New Jersey) | Secondary |
| 103TB0200X | Psychologist - Cognitive & Behavioral | PS006790L (Pennsylvania) | Secondary |
| 103TB0200X | Psychologist - Cognitive & Behavioral | 35SI00381100 (New Jersey) | Secondary |
| 103TC2200X | Psychologist - Clinical Child & Adolescent | 35SI00381100 (New Jersey) | Secondary |
| 103TC2200X | Psychologist - Clinical Child & Adolescent | PS006790L (Pennsylvania) | Secondary |
| 103TM1800X | Psychologist - Intellectual & Developmental Disabilities | PS006790L (Pennsylvania) | Secondary |
| 103TM1800X | Psychologist - Intellectual & Developmental Disabilities | 35SI00381100 (New Jersey) | Secondary |
| 103K00000X | Behavior Analyst | 35SI00381100 (New Jersey) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Marylouise E Kerwin is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Marylouise E Kerwin, PHD
201 Mullica Hill Rd, Robinson Hall,
Glassboro, NJ 08028-1700
Ph: (856) 256-5470 | Dr Marylouise E Kerwin, PHD
201 Mullica Hill Rd, Robinson Hall,
Glassboro, NJ 08028-1700
Ph: (856) 256-5470 |
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