Whalio Doctors

NPI 1205004702

Jeannie S. Kim, MSCCCSLP

Practitioner Speech-Language Pathologist Edgewater, NJ

Practice location

Address
316 Franklin CT, Edgewater, NJ 07020-1603
Phone
(646) 734-4461

Registered specialties

Speech-Language Pathologist Primary
Speech, Language and Hearing Service Providers Taxonomy 235Z00000X Licence 0130691 (NY)

Registry record

NPI
1205004702
Entity type
Individual
Sex (as registered)
Female
NPI issued
19 Feb 2008
Record last updated
19 Feb 2008

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.