Individual
KIM BANSON SABOURIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP
Contact information
Practice address
81 BIG OAK RD, SUITE 101, YARDLEY, PA 19067-7801
(215) 337-9420
(215) 337-9423
Mailing address
81 BIG OAK RD, SUITE 101, YARDLEY, PA 19067-7801
(215) 337-9420
(215) 337-9423
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SL008039
PA
Other
Enumeration date
09/04/2007
Last updated
09/04/2007
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