Most Relevant Information
Provider Data
| NPI Number: | 1003639899 |
| Provider Name: | KATHLEEN ANNE DEGENNARO MA, CCC SLP |
| Entity Type: | Individual |
| Taxonomy Code: | 235Z00000X |
| Specialty: | Speech-Language Pathologist |
| License Number: | 41YS01282200 |
Most Important Dates
| Enumeration Date: | 11/01/2024 |
| Last Updated: | 11/01/2024 |
Provider Practice Location
194 US HIGHWAY 31 - PAVILION #2
FLEMINGTON
NJ
08822
Practice Location Phone/Fax
| Phone: | 9087883777 |
| Fax: |
Provider Mailing Location
194 US HIGHWAY 31 - PAVILION #2
FLEMINGTON
NJ
08822
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |