MRS. KIM COSTELLO, M.S., CCC-SLP

Speech-Language Pathologist

Active Individual
NPI: 1306926233

Practice Address

4500 I-55 NORTH
SUITE 291, HIGHLAND VILLAGE
Jackson, MS 39211

Phone: (601) 362-0859

Specialties

Specialty Code Primary License
Speech-Language Pathologist 235Z00000X Yes SO780 (MS)

Frequently Asked Questions

NPI 1306926233 is the National Provider Identifier for MRS. KIM COSTELLO, M.S., CCC-SLP, a Speech-Language Pathologist provider located in Jackson, MS. This NPI was enumerated on October 16, 2006.
MRS. KIM COSTELLO, M.S., CCC-SLP practices at 4500 I-55 NORTH, SUITE 291, HIGHLAND VILLAGE, Jackson, MS 39211.

Quick Facts

NPI
1306926233
Type
Individual
Enumerated
Oct 16, 2006
Last Updated
Jul 8, 2007

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