Doctor Name: | MRS. KRISTINE CARA COONS |
NPI Number: | 1396824504 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S. |
License Number: | SLP1375 |
Business Practice Address: | 3036 N Boldt Dr Flagstaff, AZ - 860010960 |
Business Phone Number: | 9287730895 |
Business Fax Number: | |
Mailing Address: | 1711 Ax Handle Way, FLAGSTAFF |
State: | AZ |
Postal Code: | 860012855 |
Phone Number: | 9287741045 |
Fax Number: | |
NPI Enumeration Date: | 11/06/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SLP1375 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AZ |
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 |