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Individual

KATHRYN HERRIDGE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MA, CCC-SLP

Contact information

Practice address
899 MOUNTAIN AVE STE 1A, SPRINGFIELD, NJ 07081-3403
(973) 218-6394
Mailing address
15 MIDDLE VALLEY RD, LONG VALLEY, NJ 07853-3609
(201) 704-8959

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
41YS01034500
NJ

Other

Enumeration date
05/09/2021
Last updated
05/09/2021
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