Kim De La Rosa, MACCCSLP
Speech-Language Pathologist, in St Johnsbury, Vermont
1699130187- Practice location
- 1248 Hospital Dr, St Johnsbury, VT 05819-9239
- Phone
- 802-748-8757
- Fax
- —
- Last updated
- December 28, 2015
Kim De La Rosa is a Speech-Language Pathologist, based in St Johnsbury, VT. Kim De La Rosa practices in St Johnsbury, VT and has the professional credentials of MACCCSLP. The NPI Number for Kim De La Rosa is 1699130187 and holds a License No. 8045629 (VT). The current practice location address for Kim De La Rosa is 1248 Hospital Dr, St Johnsbury, VT 05819-9239 and can be reached out via phone at 802-748-8757.
Provider Profile Details
- NPI Number
- 1699130187
- Provider Name
- Kim De La Rosa
- Credential
- MACCCSLP
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 1248 Hospital Dr, St Johnsbury, VT 05819-9239
- Phone Number
- 802-748-8757
- Primary Taxonomy
- Speech-Language Pathologist, · 235Z00000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- December 28, 2015
- Last Update Date
- December 28, 2015
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1248 Hospital Dr
St Johnsbury, VT 05819-9239 - City
- St Johnsbury
- State
- Vermont
- Zip
- 05819-9239
- Phone Number
- 802-748-8757
Provider Business Mailing Address Details
- Address
- 183 Tremont St
St Johnsbury, VT 05819-1154 - City
- St Johnsbury
- State
- VT
- Zip
- 05819-1154
- Phone Number
- 802-274-1734
License Information
- License Number
- 8045629
- License State
- VT
- Taxonomy
- Speech-Language Pathologist, · 235Z00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Speech-Language Pathologist, providers near St Johnsbury, VT
View all Speech-Language Pathologist, providers in St Johnsbury →- Kayla M Anderson, SLPSpeech-Language Pathologist, · NPI 1154105518
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- Nek Pediatric Feeding And Communication PLLCSpeech-Language Pathologist, · NPI 1346173796
- Foundations For FamiliesCommunity/Behavioral Health · NPI 1275439382
- Amanda Cushing, MSW, LICSWSocial Worker, Clinical · NPI 1750683553
- Lindsey Muzzy WeekesCommunity Health Worker · NPI 1932977022
Frequently Asked Questions
What is the NPI number of Kim De La Rosa, MACCCSLP?
The NPI number of Kim De La Rosa, MACCCSLP is 1699130187. It was assigned on December 28, 2015 and is currently active in the NPPES registry.
What is the specialty of Kim De La Rosa, MACCCSLP?
Kim De La Rosa, MACCCSLP is registered under the primary taxonomy Speech-Language Pathologist, (code 235Z00000X), licensed in VT under license number 8045629.
Where does Kim De La Rosa, MACCCSLP practice?
The practice location is 1248 Hospital Dr, St Johnsbury, VT 05819-9239. The office can be reached at 802-748-8757 (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 1699130187 directly on the NPPES registry website.