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NPI Code Detail

MEDICARE: KRISTINA LEONE AYERS MSR, CCC-SLP

MEDICARE: KRISTINA LEONE AYERS MSR, 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 Pathologist3436SC

General Provider Information

NPI Number : 1265897482
Entity Type Code : Individual
Provider Name (Legal Business Name) : KRISTINA LEONE AYERS MSR, CCC-SLP
Provider Business Mailing Address
First Line : 9285 MEDICAL PLAZA DR
Second Line :
City : NORTH CHARLESTON
State : SC
Zip : 29406-9126
Country : US
Telephone Number : 843-797-8282
Fax Number :
Provider Business Practice Location Address
First Line : 9285 MEDICAL PLAZA DR
Second Line :
City : NORTH CHARLESTON
State : SC
Zip : 29406-9126
Country : US
Telephone Number : 843-797-8282
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/15/2015
Last Update Date : 12/15/2015

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Directions to “ KRISTINA LEONE AYERS MSR, CCC-SLP” Practice Location

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