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

Kira Enid Medina-Tiencken, MS, CCC-SLP

Individual provider Speech-Language Pathologist · NPI 1336631902

Kira Enid Medina-Tiencken, MS, CCC-SLP is a Speech-Language Pathologist in Bloomfield, New Jersey. Licensed in New Jersey. Registered with an NPI since 2018.

Licensed in
NJ
In the registry since
2018
What do these letters mean?
MS — Master of Science
A graduate science degree.
CCC-SLP — Certificate of Clinical Competence in Speech-Language Pathology
A speech-language pathologist certified by ASHA.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

31 Chestnut Ter
Bloomfield, NJ 07003-4408
Phone: (862) 812-1552
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 41YS00796200 (NJ)

Record details

NPI number1336631902
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS , CCC-SLP
Sole proprietorNo
NPI enumeratedMay 30, 2018
Last updated in NPPESMay 30, 2018

Other providers in Bloomfield