Healthcare Provider Details

I. General information

NPI: 1205762002
Provider Name (Legal Business Name): CATHERINE ANNE KELLY LAMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/19/2026
Last Update Date: 06/19/2026
Certification Date: 06/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

160 LITTLETON RD
PARSIPPANY NJ
07054-1871
US

IV. Provider business mailing address

235 FERONIA WAY
RUTHERFORD NJ
07070-2465
US

V. Phone/Fax

Practice location:
  • Phone: 919-434-8490
  • Fax:
Mailing address:
  • Phone: 919-434-8490
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number37FA00066100
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: