| Doctor Name: | KRISTIE N FOUNTAIN |
| NPI Number: | 1154619435 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.S. CCC-SLP |
| License Number: | 9427 |
| Business Practice Address: | 536 Old Howell Rd Greenville, SC - 296151969 |
| Business Phone Number: | 8775083237 |
| Business Fax Number: | |
| Mailing Address: | 371 Dawnridge Dr, LYNCHBURG |
| State: | VA |
| Postal Code: | 245023001 |
| Phone Number: | 4346657214 |
| Fax Number: | |
| NPI Enumeration Date: | 07/20/2011 |
| NPI Last Update Date: | 04/04/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | 9427 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NC |
| 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 |