Kelly Fabricatore, MS, CCC-SLP
Speech-Language Pathologist, in Summit, NJ. Individual provider (NPI-1).
NPI number1174356232
StatusActive
Last updated in NPPESAug 23, 2024
Details
- NPI
- 1174356232
- Entity type
- Individual (NPI-1)
- Name
- Kelly Fabricatore
- Credential
- MS, CCC-SLP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 23, 2024
- Certification date
- Aug 23, 2024
- Last updated
- Aug 23, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 235Z00000X | Speech-Language Pathologist, | 41YS01138700 | NJ | Yes |
Practice location
151 Summit AveSummit, NJ 07901-2813
Phone 908-598-0228
Mailing address
151 Summit AveSummit, NJ 07901-2813
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All 65 Speech-Language Pathologist providers in Summit · All 1,356 providers in Summit
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