Provider Demographics
NPI:1790940575
Name:DAMPIER, KIMBERLY RACHEL (MS, CCC, SLP)
Entity Type:Individual
Prefix:MS
First Name:KIMBERLY
Middle Name:RACHEL
Last Name:DAMPIER
Suffix:
Gender:F
Credentials:MS, CCC, SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:707 E WOODLAWN DR
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:AR
Mailing Address - Zip Code:72701-2246
Mailing Address - Country:US
Mailing Address - Phone:479-422-1903
Mailing Address - Fax:
Practice Address - Street 1:707 E WOODLAWN DR
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:AR
Practice Address - Zip Code:72701-2246
Practice Address - Country:US
Practice Address - Phone:479-422-1903
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-07-22
Last Update Date:2008-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist