Doctor Name: | KELLY ANN SCHNYDERITE |
NPI Number: | 1215157854 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA-SLP |
License Number: | 41YS00541200 |
Business Practice Address: | 3 Industrial Way E Eatontown, NJ - 077243318 |
Business Phone Number: | 7325441557 |
Business Fax Number: | |
Mailing Address: | 8 Country Club Rd, Apartment #26 EATONTOWN |
State: | NJ |
Postal Code: | 077241119 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 04/26/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 41YS00541200 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |