Individual
KIMBERLY DAWN LAWRENCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
815 S PERRY ST STE 200, CASTLE ROCK, CO 80104-3376
(949) 412-8398
Mailing address
801 ENGLEWOOD PKWY APT C107, ENGLEWOOD, CO 80110-2381
(949) 412-8398
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP.0004668
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14202132
ASHA
—
Enumeration date
08/15/2019
Last updated
01/13/2022
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