Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 102L00000X | Psychologist | 2680 | NJ |
Y | 103T00000X | Psychologist | 2680 | NJ |
N | 103TA0400X | Addiction Psychologist (Substance Use Disorder) | 2680 | NJ |
NPI | 1518143395 |
---|---|
Provider Name | Dr. Lori Gail Kadish |
First Address | Scotch Plains, NJ 07076-4697 |
Second Address | Scotch Plains, NJ 07076-4697 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 11/01/2008 |
Last Update Date | 16/09/2011 |