Individual
KIMBERLY DANIELLE AUSTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED, CCC-SLP
Contact information
Practice address
404 DARLINGTON CIR, DOTHAN, AL 36301
(334) 652-4003
Mailing address
404 DARLINGTON CIR, DOTHAN, AL 36301-4652
(334) 652-4003
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP24805
CA
Other
Enumeration date
07/31/2017
Last updated
08/26/2018
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