Doctor Name: | MRS. KRISTEN ANN UNTI |
NPI Number: | 1164636189 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 01117274 |
Business Practice Address: | 2636 S Milford Rd Highland, MI - 483574938 |
Business Phone Number: | 2486849610 |
Business Fax Number: | |
Mailing Address: | 10348 Otter Dr, SOUTH LYON |
State: | MI |
Postal Code: | 481788868 |
Phone Number: | 2484865496 |
Fax Number: | |
NPI Enumeration Date: | 05/09/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 01117274 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
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 |