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

Individual provider Speech-Language Pathologist · NPI 1164795704

Miss. Kimberly Renee Wilson, CCC-SLP is a Speech-Language Pathologist in Glenside, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2012.

Licensed in
PA
In the registry since
2012
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

107 S Keswick Ave
Glenside, PA 19038-4509
Phone: (267) 312-1443
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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 (PA)

Record details

NPI number1164795704
Entity typeIndividual (Type 1)
GenderFemale
Credentials CCC-SLP
Sole proprietorNo
NPI enumeratedFebruary 13, 2012
Last updated in NPPESFebruary 13, 2012

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