Individual
NICOLE KHANUTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11 OLDE WOODS LN, MONTVALE, NJ 07645-1743
(201) 962-6059
Mailing address
11 OLDE WOODS LN, MONTVALE, NJ 07645-1743
(201) 962-6059
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
035443
NY
Other
Enumeration date
04/28/2025
Last updated
09/08/2025
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