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NPI Code Detail

MEDICARE: KRISTEN SCHRECK M.S CCC-SLP

MEDICARE: KRISTEN SCHRECK M.S CCC-SLP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language Pathologist18502-7CA

General Provider Information

NPI Number : 1912233396
Entity Type Code : Individual
Provider Name (Legal Business Name) : KRISTEN SCHRECK M.S CCC-SLP
Provider Business Mailing Address
First Line : 11375 STRANWOOD AVE
Second Line :
City : GRANADA HILLS
State : CA
Zip : 91344-4354
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2701 N ROCKY POINT DR
Second Line : SUITE 650
City : TAMPA
State : FL
Zip : 33607-5917
Country : US
Telephone Number : 800-892-0640
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/20/2009
Last Update Date : 10/20/2009

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Directions to “ KRISTEN SCHRECK M.S CCC-SLP” Practice Location

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