Individual
KIMBERLY L NEVILLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
5404 W LOOMIS RD, GREENDALE, WI 53129-1411
(414) 421-0088
Mailing address
534 BARON RD, MUKWONAGO, WI 53149-1498
(414) 881-3826
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5147-154
WI
Other
Enumeration date
06/20/2023
Last updated
06/20/2023
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