Active NPIIndividual providerSole proprietor

Jeannie S Kim, MS CCC-SLP

Speech-Language Pathologist, in Edgewater, New Jersey

NPI Number1205004702
Practice location
316 Franklin CT, Edgewater, NJ 07020-1603
Fax
—
Last updated
February 19, 2008

Jeannie S. Kim is a Speech-Language Pathologist, based in Edgewater, NJ. Jeannie S. Kim practices in Edgewater, NJ and has the professional credentials of MS CCC-SLP. The NPI Number for Jeannie S. Kim is 1205004702 and holds a License No. 0130691 (NY). The current practice location address for Jeannie S. Kim is 316 Franklin CT, Edgewater, NJ 07020-1603 and can be reached out via phone at 646-734-4461.

Provider Profile Details

NPI Number
1205004702
Provider Name
Jeannie S. Kim
Credential
MS CCC-SLP
Provider Entity Type
Individual
Gender
Female
Address
316 Franklin CT, Edgewater, NJ 07020-1603
Phone Number
646-734-4461
Primary Taxonomy
Speech-Language Pathologist, · 235Z00000X
Sole Proprietor
Yes
Provider Enumeration Date
February 19, 2008
Last Update Date
February 19, 2008
NPI Status
Active

Provider Business Practice Location Address Details

Address
316 Franklin CT
Edgewater, NJ 07020-1603
Zip
07020-1603
Phone Number
646-734-4461
Edgewater, NJ 07020Get directions →

Provider Business Mailing Address Details

Address
316 Franklin CT
Edgewater, NJ 07020-1603
City
Edgewater
State
NJ
Zip
07020-1603
Phone Number
646-734-4461

License Information

License Number
0130691
License State
NY
Taxonomy
Speech-Language Pathologist, · 235Z00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Jeannie S Kim, MS CCC-SLP?

The NPI number of Jeannie S Kim, MS CCC-SLP is 1205004702. It was assigned on February 19, 2008 and is currently active in the NPPES registry.

What is the specialty of Jeannie S Kim, MS CCC-SLP?

Jeannie S Kim, MS CCC-SLP is registered under the primary taxonomy Speech-Language Pathologist, (code 235Z00000X), licensed in NY under license number 0130691.

Where does Jeannie S Kim, MS CCC-SLP practice?

The practice location is 316 Franklin CT, Edgewater, NJ 07020-1603. The office can be reached at 646-734-4461 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1205004702 directly on the NPPES registry website.

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