Individual
MRS. KELLY PEZZANITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP
Contact information
Practice address
151 MAIN ST, BOONTON, NJ 07005
(973) 257-1280
Mailing address
15 ADAMARY PL, PINE BROOK, NJ 07058-9702
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
41YS00574400
NJ
Other
Enumeration date
07/17/2009
Last updated
07/17/2009
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