| Doctor Name: | MS. KIMBERLY ANN EGBERTS |
| NPI Number: | 1063546141 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.S.CCC-SLP |
| License Number: | SP518 |
| Business Practice Address: | 500 Route 1 Suite #23 Yarmouth, ME - 040964711 |
| Business Phone Number: | 2076538263 |
| Business Fax Number: | |
| Mailing Address: | 74 Rock Ridge Run, CUMBERLAND CENTER |
| State: | ME |
| Postal Code: | 040213730 |
| Phone Number: | 2078294763 |
| Fax Number: | 2078294763 |
| NPI Enumeration Date: | 03/14/2007 |
| NPI Last Update Date: | 07/09/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | SP518 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | ME |
| 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 |