Provider Demographics
NPI:1871706291
Name:KILKENNY-BIELSA, MARY-ELIZABETH KATERI (MA CCC-A)
Entity type:Individual
Prefix:MS
First Name:MARY-ELIZABETH
Middle Name:KATERI
Last Name:KILKENNY-BIELSA
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Gender:F
Credentials:MA CCC-A
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Mailing Address - Street 1:209 MORRISON AVE
Mailing Address - Street 2:
Mailing Address - City:HIGHTSTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:08520-4320
Mailing Address - Country:US
Mailing Address - Phone:609-918-1891
Mailing Address - Fax:609-530-3162
Practice Address - Street 1:320 SULLIVAN WAY
Practice Address - Street 2:BOX 535
Practice Address - City:TRENTON
Practice Address - State:NJ
Practice Address - Zip Code:08628-3405
Practice Address - Country:US
Practice Address - Phone:609-530-3158
Practice Address - Fax:609-530-3162
Is Sole Proprietor?:No
Enumeration Date:2007-05-08
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
NJ231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist