Individual
KIMBERLY PATRICIA CULLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S CCC-SLP
Contact information
Practice address
104 INTERCHANGE PLZ STE 103, MONROE, NJ 08831-2038
(732) 617-1500
Mailing address
79 CREST DR, HOWELL, NJ 07731-1404
(732) 600-5857
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
030838
NY
235Z00000X
Speech-Language Pathologist
Primary
41YS00956700
NJ
235Z00000X
Speech-Language Pathologist
SL015670
PA
Other
Enumeration date
10/26/2021
Last updated
10/26/2021
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