Individual
KIMBERLY KISIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP
Contact information
Practice address
30 OLD LYMAN RD, SOUTH HADLEY, MA 01075-2630
(413) 533-7140
Mailing address
19 MAYER DR, HOLYOKE, MA 01040-1410
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
12060971
MA
Other
Enumeration date
11/15/2007
Last updated
11/15/2007
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