| Doctor Name: | KRISTIN PREVATT TUBB |
| NPI Number: | 1053747303 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MS, CCC-SLP |
| License Number: | APPLIED |
| Business Practice Address: | 4778 Overton Rd Birmingham, AL - 352103803 |
| Business Phone Number: | 2059570294 |
| Business Fax Number: | 2059570298 |
| Mailing Address: | 110 Pecan Ln, HELENA |
| State: | AL |
| Postal Code: | 350803270 |
| Phone Number: | 2057576596 |
| Fax Number: | 2059570298 |
| NPI Enumeration Date: | 09/18/2013 |
| NPI Last Update Date: | 09/18/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | APPLIED |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AL |
| Taxonomy Type: | Speech, Language and Hearing Service Providers |
| Taxonomy Classification: | Speech-Language Pathologist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A speech pathologist is a person qualified by a master |