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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KIM DE LA ROSA, MACCCSLP

Active Sole Proprietor

KIM DE LA ROSA, MACCCSLP is a Speech, Language and Hearing Specialist healthcare provider located in ST JOHNSBURY, Vermont. NPI 1699130187 is currently active in the NPPES registry. Verify at CMS.

Speech, Language and Hearing Specialist · ST JOHNSBURY, VT

Registration Details

NPI Number
1699130187
Provider Type
Individual
Gender
Female
NPI Issued
Dec 28, 2015 (10.588300316183 yrs)
Last Updated
Dec 28, 2015
License
8045629 (VT)
Sole Proprietor
Yes

Practice Information

Address
1248 HOSPITAL DR
ST JOHNSBURY, VT, 058199239
Browse VT providers · Browse ZIP 05819
Phone
8027488757
Primary Specialty
Speech, Language and Hearing Specialist
235Z00000X

Other Speech, Language and Hearing Specialist Providers in ST JOHNSBURY, VT

Name Credential NPI
LAURA OAKES CANNON SLP 1558039818
KAYLA MARIE ANDERSON SLP 1154105518
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.