Individual
KELLIAT V FORZANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
99 KINDERKAMACK RD STE 100, WESTWOOD, NJ 07675-3019
(201) 383-0826
Mailing address
99 KINDERKAMACK RD STE 100, WESTWOOD, NJ 07675-3019
(201) 383-0826
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
41YS00950300
NJ
Other
Enumeration date
05/05/2025
Last updated
05/05/2025
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