Doctor Name: | MS. KIMBERLY OLSEN |
NPI Number: | 1053714741 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CCC-SLP |
License Number: | 2202007099 |
Business Practice Address: | 1 Hillsmere Lane Staunton, VA - 24401 |
Business Phone Number: | 5407651549 |
Business Fax Number: | |
Mailing Address: | 207 E Nelson St, Unit D LEXINGTON |
State: | VA |
Postal Code: | 244502744 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 10/08/2014 |
NPI Last Update Date: | 10/08/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 2202007099 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
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 |