Doctor Name: | KRISTIN NICOLE OUELLETTE |
NPI Number: | 1992136188 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S. CCC-SLP |
License Number: | 2202007244 |
Business Practice Address: | 1226 Progressive Dr Suite 104 Chesapeake, VA - 233202847 |
Business Phone Number: | 7572862786 |
Business Fax Number: | |
Mailing Address: | 1226 Progressive Dr, Suite 104 CHESAPEAKE |
State: | VA |
Postal Code: | 233202847 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 12/12/2013 |
NPI Last Update Date: | 12/12/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 2202007244 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
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 |