Individual
KIMBERLY A BRANCACCIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
20 CRICKETWOOD LN, YOUNGSVILLE, NC 27596-7039
(919) 916-9945
Mailing address
20 CRICKETWOOD LN, YOUNGSVILLE, NC 27596-7039
(919) 916-9945
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
012797
NY
235Z00000X
Speech-Language Pathologist
Primary
9851
NC
Other
Enumeration date
03/29/2007
Last updated
02/05/2026
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