Individual
KIMBERLY PRIDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15 ENTERPRISE DR, AUGUSTA, ME 04330-7997
(207) 621-7500
Mailing address
15 ENTERPRISE DR, AUGUSTA, ME 04330-7997
(207) 621-7500
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP2233
ME
Other
Enumeration date
07/15/2015
Last updated
07/15/2015
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