Individual
KIMBERLY ANN PORTELLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA CCC-SLP
Contact information
Practice address
30 MEAD AVE, FREEHOLD, NJ 07728-1817
(732) 580-6947
Mailing address
30 MEAD AVE, FREEHOLD, NJ 07728-1817
(732) 580-6947
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
41YS00334000
NJ
Other
Enumeration date
03/14/2026
Last updated
03/14/2026
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