Doctor Name: | MRS. KRISTEN LEIGH MOUTSOS |
NPI Number: | 1437280823 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | SL008690 |
Business Practice Address: | 200 12th St Franklin, PA - 163231217 |
Business Phone Number: | 8144373071 |
Business Fax Number: | 8144322269 |
Mailing Address: | 7710 Schreck Rd, MEADVILLE |
State: | PA |
Postal Code: | 163355228 |
Phone Number: | 8144252859 |
Fax Number: | |
NPI Enumeration Date: | 03/08/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SL008690 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
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 |