Individual
MISS KIMBERLY BUCHANAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
787 GOUCHER STREET, JOHNSTOWN, PA 15905
(724) 940-3468
Mailing address
787 GOUCHER ST, JOHNSTOWN, PA 15905-3028
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SL009679
PA
Other
Enumeration date
07/27/2010
Last updated
07/27/2010
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