Doctor Name: | KIMBERLY ANNE CRIPE |
NPI Number: | 1013171289 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA |
License Number: | 0913 |
Business Practice Address: | 6420 Dutchmans Pkwy Suite 360 Louisville, KY - 402053372 |
Business Phone Number: | 5024545656 |
Business Fax Number: | |
Mailing Address: | 12318 Warner Dr, GOSHEN |
State: | KY |
Postal Code: | 400269429 |
Phone Number: | 5022287826 |
Fax Number: | |
NPI Enumeration Date: | 07/16/2008 |
NPI Last Update Date: | 07/16/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 0913 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | KY |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |