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

Individual provider Speech-Language Pathologist · NPI 1902554603

Kimberly Mora, CCC-SLP is a Speech-Language Pathologist in Oakdale, New York. Licensed in New York. Registered with an NPI since 2022.

Licensed in
NY
In the registry since
2022
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

1200 Montauk Hwy
Oakdale, NY 11769-1540
Phone: (631) 567-4901
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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 031521-01 (NY)

Record details

NPI number1902554603
Entity typeIndividual (Type 1)
GenderFemale
Credentials CCC-SLP
Sole proprietorNo
NPI enumeratedMarch 13, 2022
Last updated in NPPESMarch 13, 2022
Certification dateMarch 13, 2022
Mailing address3110 Connecticut Ave, Medford, NY 11763-1715

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