Provider Demographics
NPI:1346496569
Name:TURNER, KIMBERLY CORMIER (SLP)
Entity Type:Individual
Prefix:MRS
First Name:KIMBERLY
Middle Name:CORMIER
Last Name:TURNER
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:688 HIGHWAY 35
Mailing Address - Street 2:
Mailing Address - City:CHURCH POINT
Mailing Address - State:LA
Mailing Address - Zip Code:70525-7009
Mailing Address - Country:US
Mailing Address - Phone:337-331-0126
Mailing Address - Fax:
Practice Address - Street 1:688 HIGHWAY 35
Practice Address - Street 2:
Practice Address - City:CHURCH POINT
Practice Address - State:LA
Practice Address - Zip Code:70525-7009
Practice Address - Country:US
Practice Address - Phone:337-331-0126
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-08
Last Update Date:2008-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA5763235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist