NPI 1013042159

Kimberly Dominick

Practitioner Speech-Language Pathologist Baton Rouge, LA

Practice location

Address: 5536 Superior Dr STE C, Baton Rouge, LA 70816-6064
Phone: (225) 229-4511
Mailing address: 1151 Bullrush Dr, Baton Rouge, LA 70810-5217

Registered specialties

Speech-Language Pathologist Primary

Speech, Language and Hearing Service Providers Taxonomy 235Z00000X Licence 3015 (LA)

Other Speech-Language Pathologist providers in Louisiana →

Registry record

NPI: 1013042159
Entity type: Individual
Sex (as registered): Female
NPI issued: 22 Feb 2007
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.