Doctor Name: | KRISTIN SANKOVICH |
NPI Number: | 1144517970 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S.-C.C.C./SLP |
License Number: | 107966 |
Business Practice Address: | 3636 Executive Center Dr Ste 268 Austin, TX - 787311643 |
Business Phone Number: | 5124809573 |
Business Fax Number: | |
Mailing Address: | 1903 E 20th St, Apt 202 AUSTIN |
State: | TX |
Postal Code: | 787222400 |
Phone Number: | 5126807786 |
Fax Number: | |
NPI Enumeration Date: | 06/30/2011 |
NPI Last Update Date: | 04/30/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 107966 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
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 |