Doctor Name: | KRISTIN FAUCHER |
NPI Number: | 1588952519 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | SP605 |
Business Practice Address: | 10677 E Hwy 90 Sierra Vista, AZ - 856359174 |
Business Phone Number: | 5204442999 |
Business Fax Number: | |
Mailing Address: | 10677 E Hwy 90, SIERRA VISTA |
State: | AZ |
Postal Code: | 856359174 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 07/11/2011 |
NPI Last Update Date: | 07/11/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SP605 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | WY |
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 |