Doctor Name: | KRISTINA KAY ROBERTSON |
NPI Number: | 1104162064 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS CCC-SLP |
License Number: | 18895 |
Business Practice Address: | 3550 Shaw Ave Cincinnati, OH - 452081445 |
Business Phone Number: | 5135335053 |
Business Fax Number: | |
Mailing Address: | 8770 Donovan Ct, CINCINNATI |
State: | OH |
Postal Code: | 452498186 |
Phone Number: | 5132886004 |
Fax Number: | |
NPI Enumeration Date: | 12/21/2012 |
NPI Last Update Date: | 12/21/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 18895 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CA |
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 |