Individual
AMY KENNY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
29 DODD ST, MONTCLAIR, NJ 07042-5019
(734) 896-6599
Mailing address
29 DODD ST, MONTCLAIR, NJ 07042-5019
(734) 896-6599
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
YS00527800
NJ
Other
Enumeration date
03/02/2022
Last updated
03/02/2022
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