Individual
MRS. KIMBERLY JORDAN STARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.,CCC-SLP
Contact information
Practice address
170 ELLAS POND CV, COLLIERVILLE, TN 38017-3817
(901) 205-9637
Mailing address
170 ELLAS POND CV, COLLIERVILLE, TN 38017-3817
(901) 606-9890
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
0000006856
TN
Other
Enumeration date
08/10/2021
Last updated
06/18/2025
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