Doctor Name: | MRS. CHRISTINA LEE-KRIZ DELEEUW |
NPI Number: | 1689775165 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S., CCC-SLP |
License Number: | 7751 |
Business Practice Address: | 300 Coon Rapids Blvd Nw Suite #200 Coon Rapids, MN - 554335643 |
Business Phone Number: | 7637670854 |
Business Fax Number: | 7638626533 |
Mailing Address: | 741 Park Brook Rd, ISANTI |
State: | MN |
Postal Code: | 550407039 |
Phone Number: | 7637129490 |
Fax Number: | |
NPI Enumeration Date: | 09/26/2006 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 7751 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MN |
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 |