Individual
KELLY BRETZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
18 OLD FARM RD, CEDAR KNOLLS, NJ 07927-1005
(973) 699-3544
Mailing address
18 OLD FARM RD, CEDAR KNOLLS, NJ 07927-1005
(973) 699-3544
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
41YS00280700
NJ
Other
Enumeration date
06/27/2021
Last updated
06/27/2021
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