Kira Enid Medina-Tiencken, MS, CCC-SLP
NPI #1336631902 in Bloomfield, New Jersey
Provider Information
- NPI Number
- 1336631902
- Entity Type
- Individual
- Name
- Kira Enid Medina-Tiencken, MS, CCC-SLP
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Speech-Language Pathologist
- Credential
- MS, CCC-SLP
- Enumeration Date
- May 30, 2018
- Last Updated
- May 30, 2018
Practice Location
- Address
- 31 CHESTNUT TER
- City
- Bloomfield
- State
- New Jersey
- ZIP Code
- 07003-4408
- Phone
- (862) 812-1552
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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