Doctor Name: | KRISTIN KAE PERKINS |
NPI Number: | 1760644207 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS SLP |
License Number: | LL60014742 |
Business Practice Address: | 402 15th Ave Se Suite 100 Puyallup, WA - 983723709 |
Business Phone Number: | 2536975200 |
Business Fax Number: | 2536975248 |
Mailing Address: | 402 15th Ave Se, Suite 100 PUYALLUP |
State: | WA |
Postal Code: | 983723709 |
Phone Number: | 2536075200 |
Fax Number: | 2536975248 |
NPI Enumeration Date: | 06/26/2008 |
NPI Last Update Date: | 06/26/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | LL60014742 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
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 |