Kimberlee Bauman
Individual provider Active NPI Speech-Language Pathologist · Glendale, NY
NPI 1942744487 · NPPES record last updated Dec 16, 2016
Key facts
- NPI
- 1942744487
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 106213 (NY)
- Practice address
- 7823 87TH St
Glendale, NY 11385-7655 - Phone
- (718) 847-0724
- Fax
- (718) 805-0737
- NPI assigned
- Dec 16, 2016
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 106213 | NY | MD | Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 106213 | NY | Yes |
Addresses
Primary practice location
7823 87TH St
Glendale, NY 11385-7655
Mailing address
7823 87TH St
New York, Ny 11385
Glendale, NY 11385
Phone (718) 847-0724
Other providers in Glendale, NY
- Taufiq M Azamy
- Mariusz Badzio
- Bibi S Baksh
- Arnold Barakayev
- Ariel Hope Barrow
- Rumena Begum
- Wester Bello
- Nicole Isabella Benetti
- Nicholas Paul Bernardini
- Bridgit Berthen
All providers in Glendale, NY · Speech-Language Pathologist in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 16, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.