Individual
KIMBERLY GROSSMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S./CCC-SLP
Contact information
Practice address
1 E WREN CIR, KETTERING, OH 45420-2955
(937) 499-1858
Mailing address
1 E WREN CIR, KETTERING, OH 45420-2955
(937) 499-1858
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP-4973
OH
Other
Enumeration date
03/31/2014
Last updated
03/31/2014
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