Individual
KERRI MARIE RESTAINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS CCC-SLP
Contact information
Practice address
109 SAMUEL CT, LINCROFT, NJ 07738-1407
(551) 655-5269
Mailing address
109 SAMUEL CT, LINCROFT, NJ 07738-1407
(551) 655-5269
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
41YS00822100
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14089258
AMERICAN SPEECH LANGUAGE HEARING ASSOCIATION
NJ
01
—
41YS00822100
OFFICE OF ATT. GENERAL, DIV. OF CONSUMER AFFAIRS, AUDIO. & SPEECH LANG PATH COM
NJ
Enumeration date
02/22/2018
Last updated
07/21/2022
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