MEDICARE: KIRSTEN STRANIERE 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
1	235Z00000X	Speech-Language Pathologist	14240087-4102	UT

General Provider Information

NPI Number	:	1013445303
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KIRSTEN STRANIERE CCC-SLP

Provider Business Mailing Address
First Line	:	4010 ADAMS AVE APT E127
Second Line	:
City	:	SOUTH OGDEN
State	:	UT
Zip	:	84403-1898
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4010 ADAMS AVE APT E127
Second Line	:
City	:	SOUTH OGDEN
State	:	UT
Zip	:	84403-1898
Country	:	US
Telephone Number	:	570-439-3142
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/31/2017
Last Update Date	:	01/21/2026

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Directions to “ KIRSTEN STRANIERE CCC-SLP” Practice Location

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