Individual
KATELYN PAULINE ILVENTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CF-SLP
Contact information
Practice address
2035 LINCOLN HWY STE 1150, EDISON, NJ 08817-3351
(866) 557-8669
Mailing address
810 HOLMDEL RD, HOLMDEL, NJ 07733-1656
(732) 241-8052
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
06/26/2023
Last updated
06/26/2023
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