Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kimberly Brooke Van Den Enden, MSCCC-SLP

Individual provider Speech-Language Pathologist · NPI 1073748968

Kimberly Brooke Van Den Enden, MSCCC-SLP is a Speech-Language Pathologist in Atascadero, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2009
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Practice location Address checks out

309 Buena Fortuna Cir
Atascadero, CA 93422-8857
Phone: (209) 765-3817
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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 SP 17311 (CA)

Record details

NPI number1073748968
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSCCC-SLP
Sole proprietorYes
NPI enumeratedMay 20, 2009
Last updated in NPPESMay 20, 2009

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