Doctor Name: | KRISTIN BURGOS |
NPI Number: | 1831585447 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS CCC-SLP |
License Number: | SP-9506-SL |
Business Practice Address: | 154 Nonantum St Apt 1 Brighton, MA - 021352410 |
Business Phone Number: | 6318358949 |
Business Fax Number: | |
Mailing Address: | 154 Nonantum St, Apt 1 BRIGHTON |
State: | MA |
Postal Code: | 021352410 |
Phone Number: | 6318358949 |
Fax Number: | |
NPI Enumeration Date: | 04/09/2015 |
NPI Last Update Date: | 04/09/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SP-9506-SL |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MA |
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 |