National Provider Identifier
Kimberley Anne Glise, M.S.CCC-SLP
Kimberley Anne Glise, M.S.CCC-SLP is listed in the NPPES registry with a primary specialty of Speech-Language Pathologist in Rochester, NY and a listed phone number of (585) 802-4272.
Profile Overview
- NPI
- 1053465450
- Provider Type
- Individual
- Primary Specialty
- Speech-Language Pathologist
- Enumeration Date
- January 22, 2007
- Last Updated
- September 05, 2025
Practice Location
- 39 Rutgers St Apt 1
- Rochester, NY 14607-2857
Phone: (585) 802-4272
Specialties
- Speech-Language Pathologist (235Z00000X)
Full Record
- NPI
- 1053465450
- Entity Type
- Individual
- Last Name
- Glise
- First Name
- Kimberley
- Middle Name
- Anne
- Name Prefix
- Mrs.
- Credential
- M.S.CCC-SLP
- Mailing Street Address
- 39 Rutgers St Apt 1
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14607-2857
- Mailing Country
- US
- Mailing Phone
- (585) 802-4272
- Practice Street Address
- 39 Rutgers St Apt 1
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14607-2857
- Practice Country
- US
- Practice Phone
- (585) 802-4272
- Enumeration Date
- January 22, 2007
- Last Updated
- September 05, 2025
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- September 05, 2025
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Speech-Language Pathologist (235Z00000X)
- Other Identifiers
- 100503235 (NV)