Most Relevant Information
Provider Data
| NPI Number: | 1003409434 |
| Provider Name: | KATHRYN FUENTES SLP |
| Entity Type: | Individual |
| Taxonomy Code: | 235Z00000X |
| Specialty: | Speech-Language Pathologist |
| License Number: | 41YS01022700 |
Most Important Dates
| Enumeration Date: | 02/17/2021 |
| Last Updated: | 02/17/2021 |
Provider Practice Location
11-26 SADDLE RIVER RD
FAIR LAWN
NJ
074105634
Practice Location Phone/Fax
| Phone: | 2015098205 |
| Fax: | 2018575766 |
Provider Mailing Location
11-26 SADDLE RIVER RD
FAIR LAWN
NJ
074105634
Provider Mailing Phone/Fax
| Phone: | 2015098205 |
| Fax: | 2018575766 |