| Doctor Name: | MRS. KRISTIN MARIE JORDAN |
| NPI Number: | 1992170823 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.S. CCC-SLP |
| License Number: | SL012458 |
| Business Practice Address: | 900 Manchester Rd Fairview, PA - 164151703 |
| Business Phone Number: | 8148384822 |
| Business Fax Number: | 8148338356 |
| Mailing Address: | 1100 Shawnee Road, LIMA |
| State: | OH |
| Postal Code: | 45805 |
| Phone Number: | 4199992030 |
| Fax Number: | 4199910909 |
| NPI Enumeration Date: | 12/03/2015 |
| NPI Last Update Date: | 12/03/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | SL012458 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| 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 |