Doctor Name: | MRS. KRISTEN VAJDA |
NPI Number: | 1891113122 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA CCC-SLP |
License Number: | SP.10128 |
Business Practice Address: | 2171 Bridgeport Dr Hamilton, OH - 450135193 |
Business Phone Number: | 5138685580 |
Business Fax Number: | |
Mailing Address: | 533 Dayton St, HAMILTON |
State: | OH |
Postal Code: | 450113455 |
Phone Number: | 5138875000 |
Fax Number: | |
NPI Enumeration Date: | 04/03/2014 |
NPI Last Update Date: | 04/03/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SP.10128 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
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 |