Individual
MRS. KIMBERLY ROSE VAN BUREN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS CCC-SLP
Contact information
Practice address
105 MORTON AVE, RIDLEY PARK, PA 19078-2409
(610) 521-1331
Mailing address
105 MORTON AVE, RIDLEY PARK, PA 19078-2409
(610) 521-1331
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
022463
NY
235Z00000X
Speech-Language Pathologist
Primary
SL011242
PA
Other
Enumeration date
08/25/2013
Last updated
08/25/2013
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