| Doctor Name: | MS. KIMBERLEE YOUNG BERNER |
| NPI Number: | 1629226345 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MED CCC-SLP |
| License Number: | 15155 |
| Business Practice Address: | 5 Dowd Cir Pinehurst, NC - 283747901 |
| Business Phone Number: | 9102556157 |
| Business Fax Number: | 7074616244 |
| Mailing Address: | 340 Sandhills Cir, PINEHURST |
| State: | NC |
| Postal Code: | 283747034 |
| Phone Number: | 9102556157 |
| Fax Number: | 7074616244 |
| NPI Enumeration Date: | 09/05/2008 |
| NPI Last Update Date: | 10/15/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | 15155 |
| 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 |