Doctor Name: | KIMBERLY ROBIN CRITELLI |
NPI Number: | 1720407638 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S., CCC-SLP |
License Number: | 41YS00761300 |
Business Practice Address: | 300 Corporate Center Dr Manalapan, NJ - 077268736 |
Business Phone Number: | 7327610302 |
Business Fax Number: | |
Mailing Address: | 259 Stanton St, RAHWAY |
State: | NJ |
Postal Code: | 070653123 |
Phone Number: | 7327136468 |
Fax Number: | |
NPI Enumeration Date: | 04/08/2014 |
NPI Last Update Date: | 06/10/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 41YS00761300 |
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 |