National Provider Identifier
Kimberly Smith Mryglot, M.S., CCC-SLP
Kimberly Smith Mryglot, M.S., CCC-SLP is listed in the NPPES registry with a primary specialty of Speech-Language Pathologist in Corning, NY and a listed phone number of (607) 936-6347.
Profile Overview
- NPI
- 1588983878
- Provider Type
- Individual
- Primary Specialty
- Speech-Language Pathologist
- Enumeration Date
- May 26, 2010
- Last Updated
- May 26, 2010
Practice Location
- 10459 North RD
- Corning, NY 14830-3264
Phone: (607) 936-6347
Specialties
- Speech-Language Pathologist (235Z00000X)
Full Record
- NPI
- 1588983878
- Entity Type
- Individual
- Last Name
- Mryglot
- First Name
- Kimberly
- Middle Name
- Smith
- Name Prefix
- Mrs.
- Credential
- M.S., CCC-SLP
- Mailing Street Address
- 10459 North RD
- Mailing City
- Corning
- Mailing State
- NY
- Mailing ZIP Code
- 14830-3264
- Mailing Country
- US
- Mailing Phone
- (607) 936-6347
- Practice Street Address
- 10459 North RD
- Practice City
- Corning
- Practice State
- NY
- Practice ZIP Code
- 14830-3264
- Practice Country
- US
- Practice Phone
- (607) 936-6347
- Enumeration Date
- May 26, 2010
- Last Updated
- May 26, 2010
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Speech-Language Pathologist (235Z00000X)