Individual
KIMBERLY PEAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA CCC-SLP
Contact information
Practice address
103 PEAK LN, OCOEE, TN 37361-3614
(423) 310-3074
Mailing address
103 PEAK LN, OCOEE, TN 37361-3614
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1863
TN
Other
Enumeration date
12/13/2022
Last updated
12/13/2022
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