Doctor Name: | KIMBERLY A GEMMELL |
NPI Number: | 1538393756 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S. CCC-SLP |
License Number: | 11263 |
Business Practice Address: | 611 E. Star Court Montrose, CO - 81401 |
Business Phone Number: | 9702491646 |
Business Fax Number: | 9702498899 |
Mailing Address: | 19665 Highway 550, MONTROSE |
State: | CO |
Postal Code: | 81403 |
Phone Number: | 9092135967 |
Fax Number: | |
NPI Enumeration Date: | 05/04/2009 |
NPI Last Update Date: | 02/10/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 11263 |
Healthcare Provider Taxonomy: (Secondary) | N |
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 |