| Doctor Name: | KRISTIE EDELMAN |
| NPI Number: | 1952579708 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MS CCC-SLP |
| License Number: | MA 5218 |
| Business Practice Address: | 163 Libbey Pkwy Suite 302 Weymouth, MA - 021893137 |
| Business Phone Number: | 7813356663 |
| Business Fax Number: | 7813356686 |
| Mailing Address: | 33 Pond St, BRAINTREE |
| State: | MA |
| Postal Code: | 021845336 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 02/14/2008 |
| NPI Last Update Date: | 02/14/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | MA 5218 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| 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 |