Individual
MS. KIMBERLY ANN STRICKER SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
31 STAFFORD AVE, STAFFORD, VA 22554-7246
(540) 658-6260
Mailing address
6522 DEERSKIN DR, FREDERICKSBURG, VA 22407-6379
(225) 241-1147
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202004289
VA
235Z00000X
Speech-Language Pathologist
4308
LA
235Z00000X
Speech-Language Pathologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
187839
BLUECROSS BLUE SHIELD
VA
01
—
292516
AMERIGROUP
VA
Enumeration date
01/04/2007
Last updated
05/06/2021
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