Individual
KATHLEEN MARIE CORNELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., CCC-SLP
Contact information
Practice address
30 FAWN DR, FLEMINGTON, NJ 08822-2602
(908) 310-5856
Mailing address
30 FAWN DR, FLEMINGTON, NJ 08822-2602
(908) 310-5856
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
YS000748
NJ
Other
Enumeration date
07/08/2012
Last updated
07/08/2012
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