Kirsten King, MA CCC-SLP
Speech-Language Pathologist, in Bronx, NY. Individual provider (NPI-1).
NPI number1417656752
StatusActive
Last updated in NPPESFeb 27, 2023
Details
- NPI
- 1417656752
- Entity type
- Individual (NPI-1)
- Name
- Kirsten King
- Credential
- MA CCC-SLP
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Feb 27, 2023
- Certification date
- Jan 12, 2023
- Last updated
- Feb 27, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 235Z00000X | Speech-Language Pathologist, | 032734 | NY | Yes |
Practice location
1180 Rev James A Polite AveBronx, NY 10459-2210
Phone 858-945-6480
Mailing address
1180 Rev James A Polite AveBronx, NY 10459-2210
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