NPI 1255584512

Kelly Kongvold-Glass, MSCCCSLP

Practitioner Speech-Language Pathologist Oceanport, NJ

Practice location

Address: 14 Bridgewaters Dr STE a, Oceanport, NJ 07757-1184
Phone: (732) 542-6600
Fax: (732) 542-6606

Registered specialties (2)

Speech-Language Pathologist Primary

Speech, Language and Hearing Service Providers Taxonomy 235Z00000X Licence 41YS00578000 (NJ)

Other Speech-Language Pathologist providers in New Jersey →

Speech-Language Pathologist

Speech, Language and Hearing Service Providers Taxonomy 235Z00000X Licence 016527-1 (NY)

Registry record

NPI: 1255584512
Entity type: Individual
Sex (as registered): Female
NPI issued: 30 Oct 2008
Record last updated: 15 Sep 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.