Individual
MRS. KELLY ANN SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS CCC-SLP
Contact information
Practice address
12 ELLWOOD RD, EAST BRUNSWICK, NJ 08816-3002
(253) 740-8820
Mailing address
12 ELLWOOD RD, EAST BRUNSWICK, NJ 08816-3002
(253) 740-8820
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
41YS00482300
NJ
Other
Enumeration date
08/14/2006
Last updated
07/08/2007
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