MRS. Kelly Kongvold-Glass, MS, CCC-SLP
NPI #1255584512 in Oceanport, New Jersey
Provider Information
- NPI Number
- 1255584512
- Entity Type
- Individual
- Name
- MRS. Kelly Kongvold-Glass, MS, CCC-SLP
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Speech-Language Pathologist
- Credential
- MS, CCC-SLP
- Enumeration Date
- Oct 30, 2008
- Last Updated
- Sep 15, 2010
Practice Location
- Address
- 14 BRIDGEWATERS DR STE A
- City
- Oceanport
- State
- New Jersey
- ZIP Code
- 07757-1184
- Phone
- (732) 542-6600
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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