KB Speech & Language Therapy LLC

Organization Active NPI Speech-Language Pathologist · Brielle, NJ

NPI 1487019840 · NPPES record last updated Dec 29, 2015

Key facts

NPI
1487019840
Entity type
Organization (NPI type 2)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
41YS00569800 (NJ)
Legal business name
KB SPEECH & LANGUAGE THERAPY LLC
Practice address
108 Lenape Trail
Brielle, NJ 08730
Phone
(732) 612-3912
NPI assigned
Dec 29, 2015
Organization subpart
No

Authorized official

Name
Mrs. Kelly Baldino, MA CCC SLP
Title
Speech Pathologist
Phone
(908) 565-4001

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist
Group: 193400000X SINGLE SPECIALTY GROUP
235Z00000X 41YS00569800 NJ Yes

Addresses

Primary practice location

108 Lenape Trail
Brielle, NJ 08730

Mailing address

108 Lenape Trail
Brielle, NJ 08730
Phone (732) 612-3912

Other providers in Brielle, NJ

All providers in Brielle, NJ · Speech-Language Pathologist in New Jersey

Sources for this page

Verify at the official NPI Registry.