Sally Kydd, PSY.D
Individual provider Active NPI Clinical Psychologist · Stockton, NJ
NPI 1053787903 · NPPES record last updated Aug 14, 2015
Key facts
- NPI
- 1053787903
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- 5397 (NJ)
- Practice address
- 17 Sanford Rd
Stockton, NJ 08559-1204 - Phone
- (908) 797-3979
- NPI assigned
- Aug 14, 2015
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5397 | NJ | MD | Clinical Psychologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 5397 | NJ | Yes |
Addresses
Primary practice location
17 Sanford Rd
Stockton, NJ 08559-1204
Mailing address
17 Sanford Rd
Stockton, NJ 08559-1204
Phone (908) 797-3979
Other providers in Stockton, NJ
- Andrea Gurba
- Arden Hawes
- David Herbel
- Suzanne Elizabeth Hertz
- Daniela Hidalgo Flores
- Sharon Clare McGeady
- Janet Patricia McMahon
- Aaron Patrick Millman
- Amy Lauren Pinder
- Dante Pascual Redondo
All providers in Stockton, NJ · Clinical Psychologist in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 14, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.