Kimberly Gaye Tennyson, M.ED.

NPI #1407981491 in Fairfield, Illinois

Provider Information

NPI Number: 1407981491
Entity Type: Individual
Name: Kimberly Gaye Tennyson, M.ED.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Developmental Therapist
Credential: M.ED.
Enumeration Date: Feb 22, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: RR 3 BOX 792
City: Fairfield
State: Illinois
ZIP Code: 62837-9598
Phone: (618) 897-2430

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Developmental Therapist	222Q00000X	Primary

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