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Organization
KIMBERLY SCOTT
Active
Organization
KIMBERLY SCOTT
Active
Other names
SPEECH THERAPY 101
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KIMBERLY SCOTT CCC-SLP (OWNER)
(415) 713-9011
Entity
Organization
Contact information
Practice address
3208 HIGHLAND AVE STE B, MANHATTAN BCH, CA 90266-3833
(415) 713-9011
Mailing address
3208 HIGHLAND AVE STE B, MANHATTAN BCH, CA 90266-3833
(415) 713-9011
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP13647
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SP-13647
SPEECH THERAPY LICENSE NUMBER
CA
Enumeration date
09/13/2011
Last updated
09/13/2011
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