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

Individual provider Speech-Language Pathologist · NPI 1699130187

Kim De la Rosa, MACCCSLP is a Speech-Language Pathologist in St Johnsbury, Vermont. Practices as a sole proprietor. Licensed in Vermont.

Licensed in
VT
In the registry since
2015
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Practice location Address checks out

1248 Hospital Dr
St Johnsbury, VT 05819-9239
Phone: (802) 748-8757
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 8045629 (VT)

Record details

NPI number1699130187
Entity typeIndividual (Type 1)
GenderFemale
Credentials MACCCSLP
Sole proprietorYes
NPI enumeratedDecember 28, 2015
Last updated in NPPESDecember 28, 2015

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