Individual
KIM V OATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
300 LONGWOOD AVE, BOSTON, MA 02115-5724
(978) 538-3600
Mailing address
122 MILL LN, YORK, ME 03909-5403
(207) 363-0689
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
6337
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1200445
—
MA
Enumeration date
12/21/2006
Last updated
07/08/2007
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