Individual ProviderKimberly Grace SmithSpeech-Language PathologistSpeech, Language and Hearing Service ProvidersPractice Address220 Lincoln Pl, Apt 2f, Brooklyn, NY 11217-3761(631) 241-5612(631) 943-2033PECOS EnrollmentBased on the most recent information from CMS, provider Kimberly Grace Smith does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 6 days ago.Profile DetailsProvider ID1912458092Provider TypeIndividualFull NameSmith, Kimberly GraceTitleMrs.CredentialM.S., CCC-SLP, TSSLDGenderFemaleSole ProprietorNoEnumeration Date10/24/2016Last Updated10/24/2016Contact InformationPractice LocationPractice Address220 Lincoln Pl, Apt 2f, Brooklyn, NY 11217-3761Phone(631) 241-5612FaxUnlisted FaxMailing LocationMailing Address220 Lincoln Pl, Apt 2f, Brooklyn, NY 11217-3761Phone(631) 943-2033FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode235Z00000XPrimaryDescriptionSpeech-Language PathologistSpeech, Language and Hearing Service ProvidersLicense024548-1New York