Doctor Name: | KRISTIN SLOAN |
NPI Number: | 1629248463 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | SLP |
License Number: | SA9397 |
Business Practice Address: | 710 E Bella Vista St Lakeland, FL - 338053009 |
Business Phone Number: | 8636863189 |
Business Fax Number: | |
Mailing Address: | 1087 Glenraven Ln, CLERMONT |
State: | FL |
Postal Code: | 347119012 |
Phone Number: | 3529782882 |
Fax Number: | |
NPI Enumeration Date: | 03/07/2008 |
NPI Last Update Date: | 07/22/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SA9397 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
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 |