Individual
KIMBERLY BAGATTA-BOWLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A. CCC-SLP
Contact information
Practice address
2854 JOHN F KENNEDY BLVD, JERSEY CITY, NJ 07306-4014
(201) 792-2582
Mailing address
92 ISLAND AVE, LITTLE FALLS, NJ 07424-1221
(973) 557-5047
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
41YS01067000
NJ
Other
Enumeration date
10/28/2021
Last updated
10/28/2021
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