Individual
KIMBERLY ANNE HARTMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
301 LAKE ST, DALLAS, PA 18612-7752
(570) 675-2131
Mailing address
29 CRESCENT LEDGE DR, DALLAS, PA 18612-3067
(570) 574-1717
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SL011387
PA
Other
Enumeration date
07/01/2015
Last updated
07/01/2015
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