Kimberly Biller, CCC-SLP

Individual provider Active NPI Speech-Language Pathologist · Providence, RI

NPI 1104256304 · NPPES record last updated Nov 25, 2013

Key facts

NPI
1104256304
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
SP00290-P (RI)
Practice address
593 Eddy St
Providence, RI 02903-4923
Phone
(401) 444-5485
NPI assigned
Nov 25, 2013
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
SP00290-PRIMDSpeech-Language Pathologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SP00290-P RI Yes

Addresses

Primary practice location

593 Eddy St
Providence, RI 02903-4923

Mailing address

1044 Boston Neck Rd
Apt 8
Narragansett, RI 02882-1762
Phone (515) 480-6922

Other providers in Providence, RI

All providers in Providence, RI · Speech-Language Pathologist in Rhode Island

Sources for this page

Verify at the official NPI Registry.