Healthcare Provider Details

I. General information

NPI: 1508989955
Provider Name (Legal Business Name): KRISTIN MARIE ESIA MA CCC SLP/L
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/09/2007
Last Update Date: 08/21/2025
Certification Date: 08/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7311 ROSEDALE HWY
BAKERSFIELD CA
93308-5738
US

IV. Provider business mailing address

12320 MEZZADRO AVE
BAKERSFIELD CA
93312-6845
US

V. Phone/Fax

Practice location:
  • Phone: 773-332-4412
  • Fax:
Mailing address:
  • Phone: 773-332-4412
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License NumberSP-881
License Number StateHI
# 2
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License NumberSP32122
License Number StateCA
# 3
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number146007625
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: