Provider Demographics
NPI:1245873108
Name:BEHLING-PINKSTON, KIMBERLY L (CCC-SLP)
Entity type:Individual
Prefix:
First Name:KIMBERLY
Middle Name:L
Last Name:BEHLING-PINKSTON
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:762 PEBBLEBRANCH LN
Mailing Address - Street 2:
Mailing Address - City:BLYTHEWOOD
Mailing Address - State:SC
Mailing Address - Zip Code:29016-7288
Mailing Address - Country:US
Mailing Address - Phone:803-315-4654
Mailing Address - Fax:
Practice Address - Street 1:1018 N GUIGNARD DR
Practice Address - Street 2:
Practice Address - City:SUMTER
Practice Address - State:SC
Practice Address - Zip Code:29150-2423
Practice Address - Country:US
Practice Address - Phone:803-773-5567
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-10-23
Last Update Date:2019-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC7072235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty