Individual
JILLIAN KELLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., CCC-SLP
Contact information
Practice address
400 BELCHASE DR STE 406, MATAWAN, NJ 07747-9760
(732) 851-6947
Mailing address
14 DUTCH LN, HAZLET, NJ 07730-1729
(716) 319-7971
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
41YS01237600
NJ
Other
Enumeration date
02/28/2024
Last updated
02/28/2024
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