Individual
KRISTEN VICTORINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1112 SPRINGFIELD AVE, MOUNTAINSIDE, NJ 07092-2906
(646) 734-6381
Mailing address
1112 SPRINGFIELD AVE, MOUNTAINSIDE, NJ 07092-2906
(646) 734-6381
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
011911-1
NY
235Z00000X
Speech-Language Pathologist
Primary
41YS00569300
NJ
Other
Enumeration date
07/16/2008
Last updated
08/21/2012
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