Individual
MS. KIMBERLEY HENEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS,CCC-SLP
Contact information
Practice address
19190 OLNEY MILL RD, OLNEY, MD 20832-1260
(240) 740-3400
Mailing address
19190 OLNEY MILL RD, OLNEY, MD 20832-1260
(240) 740-3400
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
05164
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05164
SLP LICENSE
MD
Enumeration date
11/09/2018
Last updated
11/09/2018
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