Doctor Name: | MRS. KRISTIN WILFON |
NPI Number: | 1265890446 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.A., CF-SLP |
License Number: | 9860 |
Business Practice Address: | 9620 Chesapeake Dr Suite 105 San Diego, CA - 921231369 |
Business Phone Number: | 8585059083 |
Business Fax Number: | |
Mailing Address: | 9620 Chesapeake Dr, Suite 105 SAN DIEGO |
State: | CA |
Postal Code: | 921231369 |
Phone Number: | 8585059083 |
Fax Number: | |
NPI Enumeration Date: | 02/03/2016 |
NPI Last Update Date: | 02/03/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 9860 |
Healthcare Provider Taxonomy: (Secondary) | Y |
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 |