Kim De La Rosa, MACCCSLP
NPI #1699130187 in St Johnsbury, Vermont
Provider Information
- NPI Number
- 1699130187
- Entity Type
- Individual
- Name
- Kim De La Rosa, MACCCSLP
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Speech-Language Pathologist
- Credential
- MACCCSLP
- Enumeration Date
- Dec 28, 2015
- Last Updated
- Dec 28, 2015
Practice Location
- Address
- 1248 HOSPITAL DR
- City
- St Johnsbury
- State
- Vermont
- ZIP Code
- 05819-9239
- Phone
- (802) 748-8757
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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