MEDICARE: MR. JEROME CARROLL LEARY LMFT MS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106H00000X	Marriage & Family Therapist	37F100055300	NJ

General Provider Information

NPI Number	:	1427249853
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. JEROME CARROLL LEARY LMFT MS

Provider Business Mailing Address
First Line	:	44 SYCAMORE AVENUE
Second Line	:	BLG 3
City	:	LITTLE SILVER
State	:	NJ
Zip	:	07739
Country	:	US
Telephone Number	:	732-933-1375
Fax Number	:

Provider Business Practice Location Address
First Line	:	44 SYCAMORE AVENUE
Second Line	:
City	:	LITTLE SILVER
State	:	NJ
Zip	:	07739
Country	:	US
Telephone Number	:	732-933-1375
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/09/2007
Last Update Date	:	12/21/2025

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