Organization Name: | KIMBERLY A. EGBERTS & ASSOC. |
NPI Number: | 1770702151 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | KIMBERLY ANN EGBERTS (PRESIDENT) |
Mailing Address: | 30 Forest Falls Dr Suite #1 Yarmouth |
State: | ME US |
Postal Code: | 040966983 |
Phone Number: | 2078294763 |
Fax Number: | 2078294763 |
NPI Enumeration Date: | 04/24/2007 |
NPI Last Update Date: | 09/30/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SP518 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | ME |
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 |