Individual provider · Type 1 NPI

Jiwon Kim

Speech-Language Pathologist · Worcester, MA

NPI number 1245113083 Active

Practice location

55 Lake Ave N
Worcester, MA 01655-0002

Mailing address

465 Meadow Rd Apt 8203
Princeton, NJ 08540-6361

Specialties and licenses

TaxonomyCodeLicense
Speech-Language Pathologist Primary 235Z00000XSLP101789 (MA)

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, resonan…

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About NPI 1245113083

Jiwon Kim's National Provider Identifier is 1245113083, issued on Jul 29, 2025. The primary taxonomy on file is Speech-Language Pathologist (235Z00000X), and the practice location is in Worcester, MA. The record was last updated on Jul 29, 2025.