Doctor Name: | KRISTA HEALY |
NPI Number: | 1487990693 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | |
Business Practice Address: | 1822 Beacon St Apt 4 Brookline, MA - 024452063 |
Business Phone Number: | 6318041983 |
Business Fax Number: | |
Mailing Address: | 75 Station Landing, Apt 223 CAMBRIDGE |
State: | MA |
Postal Code: | 02155 |
Phone Number: | 6318041983 |
Fax Number: | |
NPI Enumeration Date: | 12/14/2012 |
NPI Last Update Date: | 09/22/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
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 |