Individual
KIMMY RUDOLPH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
351 TIMBERWOOD LN, CRANBERRY, PA 16319-2309
(814) 657-2918
Mailing address
351 TIMBERWOOD LN, CRANBERRY, PA 16319-2309
(814) 657-2918
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SL008814
PA
Other
Enumeration date
04/10/2008
Last updated
05/18/2015
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