Kim De La Rosa, MACCCSLP - Speech-Language Pathologist in St Johnsbury, VT

Kim De La Rosa, MACCCSLP is a Speech-language Pathologist based in St Johnsbury, Vermont. Kim De La Rosa is licensed to practice in Vermont (license number 8045629) and her current practice location is 1248 Hospital Dr, St Johnsbury, Vermont. She can be reached at her office (for appointments etc.) via phone at (802) 748-8757.

NPI number for Kim De La Rosa is 1699130187 and her current mailing address is 183 Tremont St, St Johnsbury, Vermont. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1699130187.

Contact Information

Kim De La Rosa, MACCCSLP
1248 Hospital Dr,
St Johnsbury, VT 05819-9239
(802) 748-8757
Not Available



Healthcare Provider's Profile

Full NameKim De La Rosa
GenderFemale
SpecialitySpeech-language Pathologist
Location1248 Hospital Dr, St Johnsbury, Vermont
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1699130187
  • Provider Enumeration Date: 12/28/2015
  • Last Update Date: 12/28/2015

Medical Identifiers

Medical identifiers for Kim De La Rosa such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1699130187NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
235Z00000XSpeech-language Pathologist 8045629 (Vermont)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kim De La Rosa is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Kim De La Rosa, MACCCSLP
183 Tremont St,
St Johnsbury, VT 05819-1154

Ph: (802) 274-1734
Kim De La Rosa, MACCCSLP
1248 Hospital Dr,
St Johnsbury, VT 05819-9239

Ph: (802) 748-8757

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Speech-Language Pathologist in St Johnsbury, VT

Kayla Marie Anderson, SLP
Speech-Language Pathologist
Medicare: Medicare Enrolled
Practice Location: 1080 Hospital Dr Ste 5, St Johnsbury, VT 05819
Phone: 802-748-5126    Fax: 802-748-1107
Laura Oakes Cannon, SLP
Speech-Language Pathologist
Medicare: Medicare Enrolled
Practice Location: 1080 Hospital Dr Ste 5, St Johnsbury, VT 05819
Phone: 802-748-5126    Fax: 802-748-1107

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