Doctor Name: | KRISTI L ALLEN |
NPI Number: | 1073850236 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | SPCH PATH |
License Number: | 1429A |
Business Practice Address: | 201 Cedar St Se Suite 4660 Albuquerque, NM - 871064917 |
Business Phone Number: | 5055636530 |
Business Fax Number: | 5055636551 |
Mailing Address: | 201 Cedar St Se, Suite 4660 ALBUQUERQUE |
State: | NM |
Postal Code: | 871064917 |
Phone Number: | 5055636530 |
Fax Number: | 5055636551 |
NPI Enumeration Date: | 01/08/2013 |
NPI Last Update Date: | 01/08/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 1429A |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NM |
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 |