Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jeannie S. Kim, MSCCC-SLP

Individual provider Speech-Language Pathologist · NPI 1205004702

Jeannie S. Kim, MSCCC-SLP is a Speech-Language Pathologist in Edgewater, New Jersey. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2008

Practice location Address checks out

316 Franklin Ct
Edgewater, NJ 07020-1603
Phone: (646) 734-4461
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 0130691 (NY)

Record details

NPI number1205004702
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSCCC-SLP
Sole proprietorYes
NPI enumeratedFebruary 19, 2008
Last updated in NPPESFebruary 19, 2008

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