Mrs. Kelly Pezzanite, MA, CCC-SLP
Speech-Language Pathologist, in Boonton, New Jersey
1639309230- Practice location
- 151 Main St, Boonton, NJ 07005
- Phone
- 973-257-1280
- Fax
- —
- Last updated
- July 17, 2009
Kelly Pezzanite is a Speech-Language Pathologist, based in Boonton, NJ. Kelly Pezzanite practices in Boonton, NJ and has the professional credentials of MA, CCC-SLP. The NPI Number for Kelly Pezzanite is 1639309230 and holds a License No. 41YS00574400 (NJ). The current practice location address for Kelly Pezzanite is 151 Main St, Boonton, NJ 07005 and can be reached out via phone at 973-257-1280.
Provider Profile Details
- NPI Number
- 1639309230
- Provider Name
- Kelly Pezzanite
- Credential
- MA, CCC-SLP
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 151 Main St, Boonton, NJ 07005
- Phone Number
- 973-257-1280
- Primary Taxonomy
- Speech-Language Pathologist, · 235Z00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- July 17, 2009
- Last Update Date
- July 17, 2009
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 151 Main St
Boonton, NJ 07005 - City
- Boonton
- State
- New Jersey
- Zip
- 07005
- Phone Number
- 973-257-1280
Provider Business Mailing Address Details
- Address
- 15 Adamary Pl
Pine Brook, NJ 07058-9702 - City
- Pine Brook
- State
- NJ
- Zip
- 07058-9702
License Information
- License Number
- 41YS00574400
- License State
- NJ
- Taxonomy
- Speech-Language Pathologist, · 235Z00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Speech-Language Pathologist, providers near Boonton, NJ
View all Speech-Language Pathologist, providers in Boonton →Frequently Asked Questions
What is the NPI number of Mrs. Kelly Pezzanite, MA, CCC-SLP?
The NPI number of Mrs. Kelly Pezzanite, MA, CCC-SLP is 1639309230. It was assigned on July 17, 2009 and is currently active in the NPPES registry.
What is the specialty of Mrs. Kelly Pezzanite, MA, CCC-SLP?
Mrs. Kelly Pezzanite, MA, CCC-SLP is registered under the primary taxonomy Speech-Language Pathologist, (code 235Z00000X), licensed in NJ under license number 41YS00574400.
Where does Mrs. Kelly Pezzanite, MA, CCC-SLP practice?
The practice location is 151 Main St, Boonton, NJ 07005. The office can be reached at 973-257-1280 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1639309230 directly on the NPPES registry website.