Individual
KENIA PERALTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
242 WASHINGTON AVE, LOWER LEVEL J, NUTLEY, NJ 07110-3934
(973) 563-8837
Mailing address
5 HIGHFIELD LN, NUTLEY, NJ 07110-1928
(973) 542-8065
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
41YS00545900
NJ
Other
Enumeration date
09/22/2015
Last updated
09/22/2015
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