Individual
COLLEEN JAIME KENNY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
346 CLAREMONT AVE, JERSEY CITY, NJ 07305-1634
(201) 915-6000
Mailing address
168 WOODWARD ST, JERSEY CITY, NJ 07304-3324
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
41YS00783000
NJ
Other
Enumeration date
03/24/2020
Last updated
10/03/2022
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