Active NPIIndividual provider

Jessica S Kimball, CCC-SLP

Speech-Language Pathologist, in Lunenburg, Massachusetts

NPI Number1659847457
Practice location
24 Massachusetts Ave, Lunenburg, MA 01462-1273
Fax
978-252-5218
Last updated
October 18, 2018

Jessica Sohl Kimball is a Speech-Language Pathologist, based in Lunenburg, MA. Jessica Sohl Kimball practices in Lunenburg, MA and has the professional credentials of CCC-SLP. The NPI Number for Jessica Sohl Kimball is 1659847457 and holds a License No. 77007-SP-SL (MA). The current practice location address for Jessica Sohl Kimball is 24 Massachusetts Ave, Lunenburg, MA 01462-1273 and can be reached out via phone at 978-833-1887 and via fax at 978-252-5218.

Provider Profile Details

NPI Number
1659847457
Provider Name
Jessica Sohl Kimball
Credential
CCC-SLP
Provider Entity Type
Individual
Gender
Female
Address
24 Massachusetts Ave, Lunenburg, MA 01462-1273
Phone Number
978-833-1887
Fax Number
978-252-5218
Primary Taxonomy
Speech-Language Pathologist, · 235Z00000X
Sole Proprietor
No
Provider Enumeration Date
October 18, 2018
Last Update Date
October 18, 2018
NPI Status
Active

Provider Business Practice Location Address Details

Address
24 Massachusetts Ave
Lunenburg, MA 01462-1273
Zip
01462-1273
Phone Number
978-833-1887
Fax Number
978-252-5218
Lunenburg, MA 01462Get directions →

Provider Business Mailing Address Details

Address
33 Ann Lee RD
Harvard, MA 01451-1217
City
Harvard
State
MA
Zip
01451-1217
Phone Number
734-417-6462

License Information

License Number
77007-SP-SL
License State
MA
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 Jessica S Kimball, CCC-SLP?

The NPI number of Jessica S Kimball, CCC-SLP is 1659847457. It was assigned on October 18, 2018 and is currently active in the NPPES registry.

What is the specialty of Jessica S Kimball, CCC-SLP?

Jessica S Kimball, CCC-SLP is registered under the primary taxonomy Speech-Language Pathologist, (code 235Z00000X), licensed in MA under license number 77007-SP-SL.

Where does Jessica S Kimball, CCC-SLP practice?

The practice location is 24 Massachusetts Ave, Lunenburg, MA 01462-1273. The office can be reached at 978-833-1887 (phone) or 978-252-5218 (fax).

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 1659847457 directly on the NPPES registry website.

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