Individual
KELLY BRENNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., CCC-SLP
Contact information
Practice address
110 HILLSIDE BLVD, LAKEWOOD, NJ 08701-3932
(732) 813-4263
Mailing address
37 FANWOOD DR, SAYREVILLE, NJ 08872-1843
(908) 217-5264
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
41YS00462800
NJ
Other
Enumeration date
02/07/2022
Last updated
02/07/2022
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