| Doctor Name: | MS. KIMBERLY ANNE HAAS |
| NPI Number: | 1376771147 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.S, CCC-SLP |
| License Number: | 58018298 |
| Business Practice Address: | 170 Intrepid Ln High Peaks Syracuse, NY - 13205 |
| Business Phone Number: | 3154928319 |
| Business Fax Number: | 3154923758 |
| Mailing Address: | 170 Intrepid Ln, High Peaks SYRACUSE |
| State: | NY |
| Postal Code: | 13205 |
| Phone Number: | 3154928319 |
| Fax Number: | 3154923758 |
| NPI Enumeration Date: | 06/30/2009 |
| NPI Last Update Date: | 06/30/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | 58018298 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| 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 |