Individual
KRISTEN BERTINELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 BETHANY RD STE 60, HAZLET, NJ 07730-1667
(732) 888-3912
Mailing address
1 BETHANY RD STE 60, HAZLET, NJ 07730-1667
(732) 888-3912
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
TL-3341
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1679957997
GROUP NPI
NJ
Enumeration date
12/20/2019
Last updated
12/20/2019
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