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Search › New Jersey › 101YP2500X

Keryn Shane, LPC

NPI 1053736769 · on the registry since 2014

Practice

Address
999 Airport Rd
Lakewood, NJ 08701
Phone
(732) 367-1710
Fax
(732) 367-7422
Organisation at this address
Mutzlachim Inc
Playtime Ot Llc
Mega Blocks Aba Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
11

Registry record

Primary taxonomy
101YP2500X
101YP2500X
Licence states on file
NJ
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2023-11-16

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