Kenia Peralta, CCC-SLP
Speech-Language Pathologist, in Nutley, NJ. Individual provider (NPI-1).
NPI number1851760680
StatusActive
Last updated in NPPESSep 22, 2015
Details
- NPI
- 1851760680
- Entity type
- Individual (NPI-1)
- Name
- Kenia Peralta
- Credential
- CCC-SLP
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Sep 22, 2015
- Last updated
- Sep 22, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 235Z00000X | Speech-Language Pathologist, | 41YS00545900 | NJ | Yes |
Practice location
242 Washington AveLower Level J
Nutley, NJ 07110-3934
Phone 973-563-8837
Mailing address
5 Highfield LnNutley, NJ 07110-1928
Phone 973-542-8065
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All 19 Speech-Language Pathologist providers in Nutley · All 713 providers in Nutley
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