Individual
KIMBERLY A VANDERMARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP, TSHH
Contact information
Practice address
952 FAIRWAY DR, WAYNESBORO, VA 22980-3404
(845) 541-6168
Mailing address
952 FAIRWAY DR, WAYNESBORO, VA 22980-3404
(845) 541-6168
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
013651
NY
235Z00000X
Speech-Language Pathologist
Primary
2202008417
VA
235Z00000X
Speech-Language Pathologist
SP-3499
NV
Other
Enumeration date
10/21/2008
Last updated
02/09/2023
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