Individual
MRS. STEPHANIE VERCH KELLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
625 STATE HWY 34, MATAWAN, NJ 07747
(732) 888-2400
Mailing address
6 REMINGTON CT, MATAWAN, NJ 07747-6805
(732) 583-0215
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
41YS00432400
NJ
Other
Enumeration date
04/11/2007
Last updated
07/08/2007
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