MEDICARE: MRS. KRISTIN JOIDIAN UZOH M.A., 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	103714	TX

General Provider Information

NPI Number	:	1205155041
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. KRISTIN JOIDIAN UZOH M.A., CCC-SLP

Provider Business Mailing Address
First Line	:	9019 GARLAND RD
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75218-3920
Country	:	US
Telephone Number	:	214-646-3554
Fax Number	:	214-705-3755

Provider Business Practice Location Address
First Line	:	9019 GARLAND RD
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75218-3920
Country	:	US
Telephone Number	:	214-646-3554
Fax Number	:	214-705-3755

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

Provider Enumeration Date	:	05/19/2010
Last Update Date	:	12/23/2019

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Directions to “ MRS. KRISTIN JOIDIAN UZOH M.A., CCC-SLP” Practice Location

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