KIMBERLY MARIE HAGAN ULRICH (NPI# 1023518834) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023518834 |
| Entity Type | Individual |
| Full Name | KIMBERLY MARIE HAGAN ULRICH |
| Other Name | KIMBERLY MARIE HAGAN |
| Credential | CCC-SLP |
| Practice Address |
4757 Habersham Rdg Sw Lilburn GA 30047-5602 |
| Practice Telephone | 7703665678 |
| Mailing Telephone | 7703665678 |
| Enumeration Date | 2018-02-19 |
| Last Update Date | 2018-02-19 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | SLP008462 | GA | Speech, Language and Hearing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063932622 | Kimberly Ann Ulrich | Speech-Language Pathologist | 700 Kenmore Ave, Fredericksburg, VA 22401-5725 | 2017-06-26 |
| 1073121422 | Kimberly Headle Ulrich | Behavior Technician | 16635 Centerfield Dr Ste 103, Eagle River, AK 99577-7745 | 2020-07-21 |
| Street Address |
4757 HABERSHAM RDG SW |
| City | LILBURN |
| State | GA |
| Zip Code | 30047-5602 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750861217 | Latrina S Walden | Nurse Practitioner | 887 Ryan Lane, Lilburn, GA 30047 | 2018-08-15 |
| 1811483928 | Olivia Oyegunle | Optometrist | 4153 Lawrenceville Hwy Nw Ste 5, Lilburn, GA 30047 | 2018-07-02 |
| 1932619285 | Mpm Creative, LLC | Speech-Language Pathologist | 1560 Hewatt Rd, Lilburn, GA 30047 | 2017-10-01 |
| 1528515186 | Smith Dental Care of Lilburn, Inc. | Dentist | 3100 Five Forks Trickham Rd Suite 201, Lilburn, GA 30047 | 2016-09-01 |
| 1891143244 | Choices Behavioral Alternatives | Counselor | 4037 Darling Court, Suite B, Lilburn, GA 30047 | 2016-05-26 |
| 1235595687 | Georgia Dental Associates | Clinic/Center | 3100 Five Forks Trickum Road Suite 201, Lilburn, GA 30047 | 2016-01-14 |
| 1912382144 | Sangeetha Asokan | Dentist | 609, Beaver Ruin Road, Tebo Dental for Kids, Lilburn, GA 30047 | 2015-07-29 |
| 1467836403 | Pamela Neal | Registered Nurse | 3315 Landingview Ct, Lilburn, GA 30047 | 2015-07-18 |
| 1699172452 | Josie Kou, Kulah Curran | Registered Nurse | 3708 Tamer Ln, Lilburn, GA 30047 | 2014-11-21 |
| 1184039380 | Cheryl Lee | Chiropractor | 5014 Stone Mountain Hwy, Suite C, Lilburn, GA 30047 | 2014-06-25 |
| Find all providers in zip 30047 | ||||
| Taxonomy Code | 235Z00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Speech-Language Pathologist |
| The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing. |
| Notes: "Scope of Practice in Speech-Language Pathology", American Speech-Language-Hearing Association, 2013. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265094536 | Brandy Mack Harris | Speech-Language Pathologist | 4505 Brandon Dr Sw, Lilburn, GA 30047-4756 | 2019-07-08 |
| 1932619285 | Mpm Creative, LLC | Speech-Language Pathologist | 1560 Hewatt Rd, Lilburn, GA 30047 | 2017-10-01 |
| 1235669193 | Angela Marie Walls | Speech-Language Pathologist | 5375 Five Forks Trickum Rd Sw, Lilburn, GA 30047-6746 | 2017-06-14 |
| 1366708521 | Diana M Boswell | Speech-Language Pathologist | 4191 Wash Lee Ct Sw, Lilburn, GA 30047-7440 | 2012-04-02 |
| 1770871451 | Creative Therapy Works LLC | Speech-Language Pathologist | 4530 Lucerne Ln Sw, Lilburn, GA 30047-4529 | 2011-07-15 |
| 1750593455 | Patrice Morris | Speech-Language Pathologist | 3865 Colonail Trail, Lilburn, GA 30047-7614 | 2007-05-04 |
| 1124008305 | Tracy Leigh Randolph | Speech-Language Pathologist | 4129 Shady Dr Nw, Lilburn, GA 30047-2647 | 2006-01-22 |
| 1598821282 | Speech Care Specialists, Inc. | Speech-Language Pathologist | 912 Killian Hill Rd Sw, Suite 103, Lilburn, GA 30047-3138 | 2006-12-28 |
| 1962563197 | Catharine Whitehouse Judd | Speech-Language Pathologist | 912 Killian Hill Rd Sw, Suite 103, Lilburn, GA 30047-3138 | 2006-12-12 |
| 1699852921 | Marcia B Bassett | Speech-Language Pathologist | 912 Killian Hill Rd Sw, Suite 103, Lilburn, GA 30047-3138 | 2006-11-01 |
| Find all providers in LILBURN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.