Individual
MS. KIMBERLY ADELEEN YON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
302 PONCE DE LEON PL, DECATUR, GA 30030-5122
(404) 932-0696
(404) 973-0756
Mailing address
302 PONCE DE LEON PL, DECATUR, GA 30030-5122
(404) 932-0696
(404) 973-0756
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP005950
GA
235Z00000X
Speech-Language Pathologist
SP 16250
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003110297B
—
GA
Enumeration date
03/14/2011
Last updated
06/11/2019
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