Mrs Kelly Pezzanite, MA, CCC-SLP | |
151 Main St, Boonton, NJ 07005 | |
(973) 257-1280 | |
Not Available |
Full Name | Mrs Kelly Pezzanite |
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Gender | Female |
Speciality | Speech-language Pathologist |
Location | 151 Main St, Boonton, New Jersey |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1639309230 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
235Z00000X | Speech-language Pathologist | 41YS00574400 (New Jersey) | Primary |
Provider Name | Morris Speech Therapy Associates, Limited Liability Company |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1407295603 PECOS PAC ID: 1153565882 Enrollment ID: O20130919000683 |
Provider Name | Mobile Therapy Services Inc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1326495615 PECOS PAC ID: 6305130840 Enrollment ID: O20160808000021 |
Mailing Address | Practice Location Address |
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Mrs Kelly Pezzanite, MA, CCC-SLP 15 Adamary Pl, Pine Brook, NJ 07058-9702 Ph: () - | Mrs Kelly Pezzanite, MA, CCC-SLP 151 Main St, Boonton, NJ 07005 Ph: (973) 257-1280 |
Amanda Parra, MA, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 119 Barnett St, Boonton, NJ 07005 Phone: 973-953-5471 | |
Rosemarie Papera, MA, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 16 Rockaway Valley Rd, Boonton, NJ 07005 Phone: 973-464-5220 | |
Gabrielle Nicole Werner, M.S., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 199 Powerville Rd, Boonton, NJ 07005 Phone: 973-334-2454 |