Doctor Name: | KRISTIN BJORKMAN |
NPI Number: | 1881066116 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S. CCC-SLP |
License Number: | 19224 |
Business Practice Address: | 1620 Calle Las Bolas Unit D San Clemente, CA - 926724929 |
Business Phone Number: | 9497351084 |
Business Fax Number: | |
Mailing Address: | 1620 Calle Las Bolas, Unit D SAN CLEMENTE |
State: | CA |
Postal Code: | 926724929 |
Phone Number: | 9497351084 |
Fax Number: | |
NPI Enumeration Date: | 10/26/2015 |
NPI Last Update Date: | 10/26/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 19224 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
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 |