MS. Jacqueline M Kimball, MS, CCC-SLP

Individual provider Early Intervention Provider Agency · NPI 1881830495

MS. Jacqueline M Kimball, MS, CCC-SLP is an Early Intervention Provider Agency in Sherrill, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in: NY
In the registry since: 2009
Specialties on file: 2

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.

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Practice location Address checks out

130 E State St
Sherrill, NY 13461
Phone: (315) 231-5250

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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 024400-1 (NY)
Early Intervention Provider Agency	Taxonomy 252Y00000X (NY)

Record details

NPI number	1881830495
Entity type	Individual (Type 1)
Gender	Female
Credentials	MS , CCC-SLP
Sole proprietor	Yes
NPI enumerated	January 2, 2009
Last updated in NPPES	January 13, 2020
Certification date	January 13, 2020