Doctor Name: | MRS. KIMBERLY M LEVINE |
NPI Number: | 1497082283 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S., CCC/SLP |
License Number: | SP 16330 |
Business Practice Address: | 5933 Rich Hill Dr Orangevale, CA - 956624771 |
Business Phone Number: | 9167182268 |
Business Fax Number: | 9162580246 |
Mailing Address: | 5933 Rich Hill Dr, ORANGEVALE |
State: | CA |
Postal Code: | 956624771 |
Phone Number: | 9167182268 |
Fax Number: | 9162580246 |
NPI Enumeration Date: | 11/16/2009 |
NPI Last Update Date: | 02/20/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SP 16330 |
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 |