Healthcare Provider Details

I. General information

NPI: 1427970961
Provider Name (Legal Business Name): OLUWATOYIN KOLAWOLE M.A., LAMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/27/2026
Last Update Date: 08/19/2026
Certification Date: 08/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

517 ROUTE 1 S STE 5400
ISELIN NJ
08830-3011
US

IV. Provider business mailing address

517 ROUTE 1 S STE 5400
ISELIN NJ
08830-3011
US

V. Phone/Fax

Practice location:
  • Phone: 732-447-9470
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103TF0200X
TaxonomyForensic Psychologist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number37FA00067700
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: