Provider Demographics
NPI:1679195333
Name:KUMIN, SYDNEY BURNS
Entity Type:Individual
Prefix:
First Name:SYDNEY
Middle Name:BURNS
Last Name:KUMIN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:386 LOWELL ST
Mailing Address - Street 2:
Mailing Address - City:READING
Mailing Address - State:MA
Mailing Address - Zip Code:01867-1526
Mailing Address - Country:US
Mailing Address - Phone:972-977-2183
Mailing Address - Fax:
Practice Address - Street 1:386 LOWELL ST
Practice Address - Street 2:
Practice Address - City:READING
Practice Address - State:MA
Practice Address - Zip Code:01867-1526
Practice Address - Country:US
Practice Address - Phone:972-977-2183
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-05-15
Last Update Date:2024-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX110320235Z00000X
MA77456235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist