Individual
ALISON KUDLESS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP
Contact information
Practice address
77 PARK AVE APT 125, HOBOKEN, NJ 07030-7106
(610) 312-8649
Mailing address
77 PARK AVE APT 125, HOBOKEN, NJ 07030-7106
(610) 312-8649
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
023909
NY
235Z00000X
Speech-Language Pathologist
41S00787800
NJ
235Z00000X
Speech-Language Pathologist
SL004933L
PA
Other
Enumeration date
01/23/2015
Last updated
01/23/2015
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