Individual
KELLY I RODENBACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS CCC-SLP
Contact information
Practice address
25 FORD AVE, LAKEWOOD, NJ 08701-5660
(215) 550-1360
Mailing address
25 FORD AVE, LAKEWOOD, NJ 08701-5660
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
06/27/2017
Last updated
06/27/2017
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