Provider Demographics
NPI:1063607562
Name:SCHOEN, KRISTIE A (MS CFY-SLP)
Entity type:Individual
Prefix:MRS
First Name:KRISTIE
Middle Name:A
Last Name:SCHOEN
Suffix:
Gender:F
Credentials:MS CFY-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4312 ARLEY PL
Mailing Address - Street 2:
Mailing Address - City:VALRICO
Mailing Address - State:FL
Mailing Address - Zip Code:33596-7182
Mailing Address - Country:US
Mailing Address - Phone:813-643-8716
Mailing Address - Fax:
Practice Address - Street 1:3105 W WATERS AVE
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33614-2869
Practice Address - Country:US
Practice Address - Phone:813-932-3013
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-09-08
Last Update Date:2007-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSZ 4222235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist