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Individual
KIMBERLEY LINGOLD
Active
Individual
KIMBERLEY LINGOLD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
119603
TX
235Z00000X
Speech-Language Pathologist
—
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
119603
TDLR
TX
01
—
PSLP.0000847
DORA
CO
Enumeration date
01/03/2019
Last updated
09/14/2022
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