Individual
KIMBERLY BRABHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP, L-SLP
Contact information
Practice address
30298 DEAUX RUN, ALBANY, LA 70711-2843
(225) 715-6031
Mailing address
30298 DEAUX RUN, ALBANY, LA 70711-2843
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
6178
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6178
LBESPA
LA
Enumeration date
02/22/2021
Last updated
02/22/2021
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