Individual
KIMBERLY MACHT GILSENAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA CCC-SLP
Contact information
Practice address
100 MELROSE AVE STE 100, GREENWICH, CT 06830-6277
(914) 629-8465
Mailing address
1216 KING ST UNIT 4, GREENWICH, CT 06831-2947
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
00329
CT
Other
Enumeration date
01/15/2020
Last updated
01/15/2020
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