Provider Demographics
NPI:1285978775
Name:BROPHY-MCCAULEY, KRISTEN MARGARET (LPC)
Entity type:Individual
Prefix:MS
First Name:KRISTEN
Middle Name:MARGARET
Last Name:BROPHY-MCCAULEY
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:560 DOVER AVE
Mailing Address - Street 2:
Mailing Address - City:OAKHURST
Mailing Address - State:NJ
Mailing Address - Zip Code:07755-1111
Mailing Address - Country:US
Mailing Address - Phone:908-489-4123
Mailing Address - Fax:
Practice Address - Street 1:560 DOVER AVE
Practice Address - Street 2:
Practice Address - City:OAKHURST
Practice Address - State:NJ
Practice Address - Zip Code:07755-1111
Practice Address - Country:US
Practice Address - Phone:908-489-4123
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-11-21
Last Update Date:2021-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37AC00102400101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health