Kimberly A Ennis, MA, CCC-SLP

NPI #1356686026 in Meridian, Idaho

Provider Information

NPI Number
1356686026
Entity Type
Individual
Name
Kimberly A Ennis, MA, CCC-SLP
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Speech-Language Pathologist
Credential
MA, CCC-SLP
Enumeration Date
Dec 6, 2012
Last Updated
Dec 6, 2012

Practice Location

Address
1351 WEST PINE AVE.
Address 2
MERIDIAN CARE AND REHABILITATION CENTER
State
Idaho
ZIP Code
83642
Phone
(208) 888-7246

Specialties & Taxonomy Codes

Specialty
Speech-Language Pathologist

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