Doctor Name: | KRISTINE LEGO |
NPI Number: | 1093182677 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | COND.2015271 |
Business Practice Address: | 470 Center St #2 Chardon, OH - 440241098 |
Business Phone Number: | 4402791700 |
Business Fax Number: | |
Mailing Address: | 181 Eaton Ridge Dr, 206 SAGAMORE HILLS |
State: | OH |
Postal Code: | 440671574 |
Phone Number: | 3306716615 |
Fax Number: | |
NPI Enumeration Date: | 08/30/2015 |
NPI Last Update Date: | 08/30/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | COND.2015271 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
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 |