| Ms Kristine Ann Queng Juan, | |
|
1151 W Main St, Freehold, NJ 07728-7943 | |
| (732) 202-1000 | |
| Not Available |
| Full Name | Ms Kristine Ann Queng Juan |
|---|---|
| Gender | Female |
| Speciality | Speech-language Pathologist |
| Location | 1151 W Main St, Freehold, 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 |
|---|---|---|---|
| 1588128342 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | O1-0001714 (Delaware) | Secondary |
| 235Z00000X | Speech-language Pathologist | 41YS00986600 (New Jersey) | Primary |
| Provider Name | Bridgeway Care At Home Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1104383421 PECOS PAC ID: 6406198373 Enrollment ID: O20190424001051 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Kristine Ann Queng Juan, 1151 W Main St, Freehold, NJ 07728-7943 Ph: (732) 202-1000 | Ms Kristine Ann Queng Juan, 1151 W Main St, Freehold, NJ 07728-7943 Ph: (732) 202-1000 |
Chatterbox Speech& Language Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 71 W Main St, Freehold, NJ 07728 Phone: 732-866-4305 Fax: 732-866-4344 | |
Mrs. Melanie Bonavolonta, MS, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 74 Juniper Dr, Freehold, NJ 07728 Phone: 732-403-4324 | |
Danielle M Croasdale, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 10 Desai Ct, Freehold, NJ 07728 Phone: 908-489-3634 | |
Allison Felsher-blacknik, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 40 Canterbury Dr, Freehold, NJ 07728 Phone: 201-658-5056 | |
Julie Berman, MA CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 4257 Route 9 N, Bldg. 6, Freehold, NJ 07728 Phone: 732-303-9660 Fax: 732-303-1810 | |
Mrs. Gina M Bisogna, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 15 Leiden Rd, Freehold, NJ 07728 Phone: 646-732-9417 | |
Mind2mouthspeechtherapy Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 41 Longview Ave, Freehold, NJ 07728 Phone: 908-415-4291 |