Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kezia Wallerson

Individual provider Intellectual & Developmental Disabilities Psychologist · NPI 1831041730

Kezia Wallerson is an Intellectual & Developmental Disabilities Psychologist in Montclair, New Jersey. Practices as a sole proprietor. Registered with an NPI since 2026.

In the registry since
2026
Specialties on file
5

Practice location Address checks out

25 High St Apt C1
Montclair, NJ 07042-2452
Phone: (315) 415-7148
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (primary) Taxonomy 320900000X
Intellectual & Developmental Disabilities Psychologist Taxonomy 103TM1800X
Nutrition Education Nutritionist Taxonomy 133NN1002X
Specialist Taxonomy 174400000X
Health Educator Taxonomy 174H00000X

Record details

NPI number1831041730
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedFebruary 12, 2026
Last updated in NPPESFebruary 12, 2026
Certification dateFebruary 12, 2026
Mailing address25 High St Apt C1, Montclair, NJ 07042-2452