Individual
KRISTEN E FAREN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
301 SICOMAC AVE, WYCKOFF, NJ 07481-2159
(201) 848-5200
Mailing address
30 DOGWOOD LN, HASKELL, NJ 07420-1066
(201) 835-7082
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
41YS00992200
NJ
235Z00000X
Speech-Language Pathologist
Primary
O1-0012063
DE
Other
Enumeration date
11/04/2020
Last updated
03/30/2022
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