Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KEZIA WALLERSON
Active Sole ProprietorKEZIA WALLERSON is a Emotionally Disturbed Children Residential Treatment healthcare provider located in MONTCLAIR, New Jersey. NPI 1831041730 is currently active in the NPPES registry. Verify at CMS.
Emotionally Disturbed Children Residential Treatment · MONTCLAIR, NJ
Registration Details
- NPI Number
- 1831041730
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 12, 2026 (0.54674760709732 yrs)
- Last Updated
- Feb 12, 2026
- Sole Proprietor
- Yes
Practice Information
- Address
-
25 HIGH ST APT C1MONTCLAIR, NJ, 070422452Browse NJ providers · Browse ZIP 07042
- Phone
- 3154157148
- Primary Specialty
-
Emotionally Disturbed Children Residential Treatment
320900000X
- Additional Specialty
- Nutrition, Education
- Additional Specialty
- Specialist
- Additional Specialty
- Health Educator
- Additional Specialty
- Emotionally Disturbed Children Residential Treatment
Other Emotionally Disturbed Children Residential Treatment Providers in MONTCLAIR, NJ
| Name | Credential | NPI |
|---|---|---|
| TONYA DENISE KORSAH | — | 1427866979 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.