MISS Kimberly Renee Wilson, CCC-SLP
NPI #1164795704 in Glenside, Pennsylvania
Provider Information
- NPI Number
- 1164795704
- Entity Type
- Individual
- Name
- MISS Kimberly Renee Wilson, CCC-SLP
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Speech-Language Pathologist
- Credential
- CCC-SLP
- Enumeration Date
- Feb 13, 2012
- Last Updated
- Feb 13, 2012
Practice Location
- Address
- 107 S KESWICK AVE
- City
- Glenside
- State
- Pennsylvania
- ZIP Code
- 19038-4509
- Phone
- (267) 312-1443
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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