Provider Demographics
NPI:1598318222
Name:KALAFUT, CORRINNE (PSYD)
Entity Type:Individual
Prefix:DR
First Name:CORRINNE
Middle Name:
Last Name:KALAFUT
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 SENTRY LN UNIT 573
Mailing Address - Street 2:
Mailing Address - City:CHESTER
Mailing Address - State:NJ
Mailing Address - Zip Code:07930-7028
Mailing Address - Country:US
Mailing Address - Phone:908-387-7011
Mailing Address - Fax:855-387-7629
Practice Address - Street 1:17 MAIN STREET
Practice Address - Street 2:FLOOR 1
Practice Address - City:NETCONG
Practice Address - State:NJ
Practice Address - Zip Code:07857
Practice Address - Country:US
Practice Address - Phone:908-387-7011
Practice Address - Fax:855-387-7629
Is Sole Proprietor?:No
Enumeration Date:2019-07-22
Last Update Date:2022-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ35SI00598000103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical