Individual
KIMBERLY D DURHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
100 S JACKSON AVE, PITTSBURGH, PA 15202-3428
(412) 734-6030
(412) 734-6881
Mailing address
100 S JACKSON AVE, PITTSBURGH, PA 15202-3428
(412) 734-6030
(412) 734-6881
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SL009006
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102530724
—
PA
Enumeration date
11/01/2010
Last updated
10/13/2020
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