Individual
KERRY DORRIAN NULMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
9 MORNINGSIDE DR, PENNINGTON, NJ 08534-3108
(609) 306-0844
Mailing address
9 MORNINGSIDE DR, PENNINGTON, NJ 08534-3108
(609) 306-0844
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
41YS00393400
NJ
235Z00000X
Speech-Language Pathologist
SL006330L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
41YS00393400
SPEECH LANGUAGE PATHOLOGY LICENSE
NJ
01
—
SL006330L
SPEECH LANGUAGE PATHOLOGY LICENSE
PA
Enumeration date
09/11/2017
Last updated
09/11/2017
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