| Mrs Kelly Pezzanite, MA, CCC-SLP | |
| 
					151 Main St, Boonton, NJ 07005  | |
| (973) 257-1280 | |
| Not Available | 
| Full Name | Mrs Kelly Pezzanite | 
|---|---|
| Gender | Female | 
| Speciality | Speech-language Pathologist | 
| Location | 151 Main St, Boonton, New Jersey | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1639309230 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | 41YS00574400 (New Jersey) | Primary | 
| Provider Name | Morris Speech Therapy Associates, Limited Liability Company | 
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice | 
| Provider Identifiers | NPI Number: 1407295603 PECOS PAC ID: 1153565882 Enrollment ID: O20130919000683  | 
| Provider Name | Mobile Therapy Services Inc | 
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice | 
| Provider Identifiers | NPI Number: 1326495615 PECOS PAC ID: 6305130840 Enrollment ID: O20160808000021  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Mrs Kelly Pezzanite, MA, CCC-SLP 15 Adamary Pl, Pine Brook, NJ 07058-9702 Ph: () -  | Mrs Kelly Pezzanite, MA, CCC-SLP 151 Main St, Boonton, NJ 07005 Ph: (973) 257-1280  | 
Amanda Parra, MA, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 119 Barnett St, Boonton, NJ 07005 Phone: 973-953-5471  | |
Rosemarie Papera, MA, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 16 Rockaway Valley Rd, Boonton, NJ 07005 Phone: 973-464-5220  | |
Gabrielle Nicole Werner, M.S., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 199 Powerville Rd, Boonton, NJ 07005 Phone: 973-334-2454  |