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

Individual provider Speech-Language Pathologist · NPI 1083854608

Kimberly Bourke, CCC-SLP is a Speech-Language Pathologist in Plainview, New York. Licensed in New York. Registered with an NPI since 2009.

Licensed in
NY
In the registry since
2009
What do these letters mean?
CCC-SLP — Certificate of Clinical Competence in Speech-Language Pathology
A speech-language pathologist certified by ASHA.

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Practice location Address checks out

255 Executive Dr
Plainview, NY 11803-1718
Phone: (516) 576-2040
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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 015891 (NY)

Record details

NPI number1083854608
Entity typeIndividual (Type 1)
GenderFemale
Credentials CCC-SLP
Sole proprietorNo
NPI enumeratedFebruary 22, 2009
Last updated in NPPESFebruary 22, 2009
Mailing address200 N 4th St, Bethpage, NY 11714-2004

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