Doctor Name: | KRISTEN BROWNLEE HUDGINS |
NPI Number: | 1912217100 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CCC-SLP |
License Number: | SLP007463 |
Business Practice Address: | 404 King Springs Village Pkwy Se Smyrna, GA - 300824240 |
Business Phone Number: | 7704310816 |
Business Fax Number: | 7704319940 |
Mailing Address: | 404 King Springs Village Pkwy Se, SMYRNA |
State: | GA |
Postal Code: | 300824240 |
Phone Number: | 7704310816 |
Fax Number: | 7704319940 |
NPI Enumeration Date: | 10/21/2010 |
NPI Last Update Date: | 01/26/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SLP007463 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
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 |