Doctor Name: | MRS. KIMBERLY T DONELSON |
NPI Number: | 1992124077 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S., CCC-SLP |
License Number: | 2191 |
Business Practice Address: | 6193 Guffin Cv Bartlett, TN - 381356151 |
Business Phone Number: | 9016902294 |
Business Fax Number: | 9013884414 |
Mailing Address: | 6193 Guffin Cv, BARTLETT |
State: | TN |
Postal Code: | 381356151 |
Phone Number: | 9016902294 |
Fax Number: | 9013884414 |
NPI Enumeration Date: | 04/16/2014 |
NPI Last Update Date: | 04/16/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 2191 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TN |
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 |