Doctor Name: | KIM CHRISTINE HILDERBRANDT |
NPI Number: | 1710359401 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA SLP-CCC |
License Number: | LL60594298 |
Business Practice Address: | 2689 Hoover Ave Se Port Orchard, WA - 983663013 |
Business Phone Number: | 3604433625 |
Business Fax Number: | 3604433662 |
Mailing Address: | 2689 Hoover Ave Se, PORT ORCHARD |
State: | WA |
Postal Code: | 983663013 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 10/21/2015 |
NPI Last Update Date: | 10/21/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | LL60594298 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
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 |