Individual
KELLY JOANA GOMEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS SLP
Contact information
Practice address
155 PASSAIC AVE STE 150, FAIRFIELD, NJ 07004-3562
(973) 800-8515
Mailing address
155 PASSAIC AVE STE 150, FAIRFIELD, NJ 07004-3562
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
41YS01317600
NJ
Other
Enumeration date
08/26/2025
Last updated
08/26/2025
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