Doctor Name: | JENNIFER KIMERY |
NPI Number: | 1013249127 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSR, CCC-SLP |
License Number: | |
Business Practice Address: | 118 Spring Hall Dr Ste C Goose Creek, SC - 294455360 |
Business Phone Number: | 8437180359 |
Business Fax Number: | |
Mailing Address: | 1801 Old Trolley Rd Ste 101, SUMMERVILLE |
State: | SC |
Postal Code: | 294858283 |
Phone Number: | 8438713235 |
Fax Number: | 8438713233 |
NPI Enumeration Date: | 02/01/2010 |
NPI Last Update Date: | 03/12/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
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 |