Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Kimberley Anne Glise, MSCCC-SLP

Individual provider Speech-Language Pathologist · NPI 1053465450

Mrs. Kimberley Anne Glise, MSCCC-SLP is a Speech-Language Pathologist in Rochester, New York. Works from 2 locations. Licensed in Nevada.

Licensed in
NV
In the registry since
2007
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Practice location Address checks out

39 Rutgers St Apt 1
Rochester, NY 14607-2857
Phone: (585) 802-4272
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 590 Fishers Station Dr Ste 130, Victor, NY 14564-9744 — (585) 924-7207

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence NV SP-797 (NV)

Record details

NPI number1053465450
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSCCC-SLP
Sole proprietorNo
NPI enumeratedJanuary 22, 2007
Last updated in NPPESSeptember 5, 2025
Certification dateSeptember 5, 2025

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