MEDICARE: MRS. KIMBERLY MOLNAR 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	7101003163	MI

General Provider Information

NPI Number	:	1437810595
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. KIMBERLY MOLNAR M.A., CCC-SLP

Provider Business Mailing Address
First Line	:	15900 TURNBERRY ST
Second Line	:
City	:	LANSING
State	:	MI
Zip	:	48906-8308
Country	:	US
Telephone Number	:	517-214-8864
Fax Number	:

Provider Business Practice Location Address
First Line	:	616 S CREYTS RD STE B
Second Line	:
City	:	LANSING
State	:	MI
Zip	:	48917-8269
Country	:	US
Telephone Number	:	517-258-7889
Fax Number	:

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

Provider Enumeration Date	:	12/31/2021
Last Update Date	:	12/31/2021

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Directions to “ MRS. KIMBERLY MOLNAR M.A., CCC-SLP” Practice Location

Language	Start Address	Practice Location

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