Doctor Name: | KRISTEN COTTER |
NPI Number: | 1003260365 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | SLPA |
License Number: | AO494 |
Business Practice Address: | 37770 Upper Camp Creek Rd Springfield, OR - 974788753 |
Business Phone Number: | 5413450805 |
Business Fax Number: | |
Mailing Address: | 37770 Upper Camp Creek Rd, SPRINGFIELD |
State: | OR |
Postal Code: | 974788753 |
Phone Number: | 5413450805 |
Fax Number: | |
NPI Enumeration Date: | 04/22/2016 |
NPI Last Update Date: | 04/22/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2355S0801X |
License Number: | AO494 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OR |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Specialist/Technologist |
Taxonomy Specialization: | Speech-Language Assistant |
Taxonomy Definition: |