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1336373620

NPI Code Detail

MEDICARE: MRS. KIMBERLEE GLOWACKI M.A., CCC-SLP

MEDICARE: MRS. KIMBERLEE GLOWACKI M.A., CCC-SLP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	235Z00000X	Speech-Language Pathologist	SLP.0000942	CO
2	235Z00000X	Speech-Language Pathologist	3037	KS
3	235Z00000X	Speech-Language Pathologist	O1-0012584	DE
4	235Z00000X	Speech-Language Pathologist	38841	CA
5	235Z00000X	Speech-Language Pathologist	124889	TX
6	235Z00000X	Speech-Language Pathologist	2202012378	VA

General Provider Information

NPI Number	:	1336373620
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. KIMBERLEE GLOWACKI M.A., CCC-SLP

Provider Business Mailing Address
First Line	:	3090 N ACADEMY BLVD
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80917-5310
Country	:	US
Telephone Number	:	719-574-8300
Fax Number	:	719-574-9547

Provider Business Practice Location Address
First Line	:	3090 N ACADEMY BLVD
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80917-5310
Country	:	US
Telephone Number	:	719-574-8300
Fax Number	:	719-574-9547

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/14/2009
Last Update Date	:	04/21/2026

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Directions to “ MRS. KIMBERLEE GLOWACKI M.A., CCC-SLP” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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