Individual
KIMBERLY LYNN DRYBREAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA CCC SLP
Contact information
Practice address
1380 TULIP ST, LONGMONT, CO 80501-3157
(303) 485-4163
(303) 485-4164
Mailing address
1380 TULIP ST, LONGMONT, CO 80501-3157
(303) 485-4163
(303) 485-4164
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
01097778
CO
235Z00000X
Speech-Language Pathologist
Primary
SLP.0000309
CO
Other
Enumeration date
10/19/2012
Last updated
01/20/2021
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