Healthcare Provider Details

I. General information

NPI: 1346417557
Provider Name (Legal Business Name): KENDRA J HALUSKA PSY.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/15/2008
Last Update Date: 07/28/2026
Certification Date: 07/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

31 E HIGH ST
SOMERVILLE NJ
08876-2302
US

IV. Provider business mailing address

31 E HIGH ST
SOMERVILLE NJ
08876-2302
US

V. Phone/Fax

Practice location:
  • Phone: 201-777-3992
  • Fax:
Mailing address:
  • Phone: 201-777-3992
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number017494
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number017494-1
License Number StateNY
# 3
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number355100490300
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: