Doctor Name: | MRS. KRISTIN MARIE COUTURE |
NPI Number: | 1104999325 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | SLP003085 |
Business Practice Address: | 4405 Evans To Locks Rd Ste C Evans, GA - 308093603 |
Business Phone Number: | 7068541598 |
Business Fax Number: | 7068548136 |
Mailing Address: | 244 Silver Maple Rd, MARTINEZ |
State: | GA |
Postal Code: | 309071281 |
Phone Number: | 7068602710 |
Fax Number: | |
NPI Enumeration Date: | 11/16/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SLP003085 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
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 |