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NPI Code Detail

MEDICARE: KRISTEN HENKER VAN HOUTEN

MEDICARE: KRISTEN HENKER VAN HOUTEN
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 PathologistSLP007394GA

General Provider Information

NPI Number : 1417479031
Entity Type Code : Individual
Provider Name (Legal Business Name) : KRISTEN HENKER VAN HOUTEN
Provider Business Mailing Address
First Line : 217 E POINT DR
Second Line :
City : SAVANNAH
State : GA
Zip : 31410-1408
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 351 WILMINGTON ISLAND RD
Second Line :
City : SAVANNAH
State : GA
Zip : 31410-3851
Country : US
Telephone Number : 912-712-2832
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/14/2017
Last Update Date : 07/14/2017

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Directions to “ KRISTEN HENKER VAN HOUTEN ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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