Individual
KEVIN O'HARE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2 MAIN ST, SUITE 3, BRADLEY BEACH, NJ 07720-1059
(732) 455-5504
(732) 455-5505
Mailing address
2 MAIN ST.,, SUITE 3, SPEECH AT THE BEACH, BRADLEY BEACH, NJ 07720-1062
(732) 455-5504
(732) 455-5505
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
41YS00228500
NJ
Other
Enumeration date
02/20/2009
Last updated
02/01/2012
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