Doctor Name: | KRISTEN LAUREL LINCOLN |
NPI Number: | 1295158673 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 2013040773 |
Business Practice Address: | 1815 E Hamilton St Kirksville, MO - 635013903 |
Business Phone Number: | 6606655691 |
Business Fax Number: | 6606261421 |
Mailing Address: | 1901 E Hamilton St, KIRKSVILLE |
State: | MO |
Postal Code: | 635013904 |
Phone Number: | 6606657774 |
Fax Number: | 6606653281 |
NPI Enumeration Date: | 01/21/2014 |
NPI Last Update Date: | 01/21/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 2013040773 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MO |
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 |