Individual
KENNETH JOEL SIERRA CACERES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
12-15 SADDLE RIVER RD, FAIR LAWN, NJ 07410-5808
(201) 797-9522
Mailing address
4 1/2 BELLEVUE TER, MORRISTOWN, NJ 07960-9466
(973) 462-1674
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
TL-4957
NJ
Other
Enumeration date
11/06/2025
Last updated
11/06/2025
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