Individual
KIMBERLY LORRAINE TETRO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3575 QUAKERBRIDGE RD, HAMILTON, NJ 08619-1271
(609) 631-2800
Mailing address
3575 QUAKERBRIDGE RD, HAMILTON, NJ 08619-1271
(609) 631-2800
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
41YS00702200
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
41YS00702200
SPEECH LANGUAGE PATHOLOGIST
NJ
Enumeration date
05/08/2013
Last updated
05/08/2013
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