Individual ProviderKelly Ann SmithSpeech-Language PathologistSpeech, Language and Hearing Service ProvidersPractice Address12 Ellwood Rd, East Brunswick, NJ 08816-3002(253) 740-8820PECOS EnrollmentBased on the most recent information from CMS, provider Kelly Ann Smith does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 11:53 AM.Profile DetailsProvider ID1356354377Provider TypeIndividualFull NameSmith, Kelly AnnTitleMrs.CredentialMS CCC-SLPGenderFemaleSole ProprietorYesEnumeration Date8/14/2006Last Updated7/8/2007Contact InformationPractice LocationPractice Address12 Ellwood Rd, East Brunswick, NJ 08816-3002Phone(253) 740-8820FaxUnlisted FaxMailing LocationMailing Address12 Ellwood Rd, East Brunswick, NJ 08816-3002Phone(253) 740-8820FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode235Z00000XPrimaryDescriptionSpeech-Language PathologistSpeech, Language and Hearing Service ProvidersLicense41YS00482300New Jersey