NPI 1154585123 KIMBERLY JO HIDDLESON M.A., CCC-SLP NEWPORT BEACH CA. Find Phone Number, Address, Contact details of medical healthcare providers | NPI Number Lookup

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Kimberly Jo Hiddleson - NPI: 1154585123

National Provider Identifier (NPI) is a 10-digit identification number which is issued to health care providers by the Centers for Medicare and Medicaid Services (CMS) in the United States(US). The NPI is introduced to replace of UPIN (unique provider identification number) and now NPI is the only required identifier for Medicare services, and NPI is also used by commercial healthcare insurers and by other payers.

Doctor Name: KIMBERLY JO HIDDLESON
NPI Number: 1154585123
Entity Type Code: Individual (1)
Gender: F
Credentials: M.A., CCC-SLP
License Number: SP8075
Business Practice Address: 901 Dove St
Suite 280 Newport Beach, CA - 926603023
Business Phone Number: 9495670025
Business Fax Number: 9495670026
Mailing Address: 901 Dove St, Suite 280
NEWPORT BEACH
State: CA
Postal Code: 926603023
Phone Number: 9495670025
Fax Number: 9495670026
NPI Enumeration Date: 07/18/2008
NPI Last Update Date: 07/18/2008
Replacement NPI: 0
NPI Deactivation Date:
NPI Reactivation Date:

Taxonomy Information:

Healthcare Provider Taxonomy: 235Z00000X
License Number: SP8075
Healthcare Provider Taxonomy:
(Secondary)
Y
State: CA
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


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