Doctor Name: | KRISTIN MARIE ESIA |
NPI Number: | 1508989955 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA CCC SLP/L |
License Number: | SP-881 |
Business Practice Address: | 7486 Filmore Ave Hanover Park, IL - 601332782 |
Business Phone Number: | 7733324412 |
Business Fax Number: | |
Mailing Address: | 7486 Filmore Ave, HANOVER PARK |
State: | IL |
Postal Code: | 601332782 |
Phone Number: | 7733324412 |
Fax Number: | |
NPI Enumeration Date: | 04/09/2007 |
NPI Last Update Date: | 06/12/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SP-881 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | HI |
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 |