Doctor Name: | MRS. KRISTINA RENE STURWOLD |
NPI Number: | 1083819783 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA, CCC, SLP |
License Number: | 22002889A |
Business Practice Address: | 9714 Fortune Dr Fishers, IN - 460379047 |
Business Phone Number: | 3178491409 |
Business Fax Number: | 3175768084 |
Mailing Address: | 9714 Fortune Dr, FISHERS |
State: | IN |
Postal Code: | 460379047 |
Phone Number: | 3178491409 |
Fax Number: | 3175768084 |
NPI Enumeration Date: | 06/20/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 22002889A |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IN |
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 |