Provider Demographics
NPI:1124647110
Name:CALLAHAN, KRISTYN PIOTROWSKI (MS, CCC-SLP)
Entity type:Individual
Prefix:
First Name:KRISTYN
Middle Name:PIOTROWSKI
Last Name:CALLAHAN
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:171 TURNPIKE RD
Mailing Address - Street 2:
Mailing Address - City:NEW IPSWICH
Mailing Address - State:NH
Mailing Address - Zip Code:03071-3525
Mailing Address - Country:US
Mailing Address - Phone:603-878-4387
Mailing Address - Fax:
Practice Address - Street 1:171 TURNPIKE RD
Practice Address - Street 2:
Practice Address - City:NEW IPSWICH
Practice Address - State:NH
Practice Address - Zip Code:03071-3525
Practice Address - Country:US
Practice Address - Phone:603-878-4387
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-04-10
Last Update Date:2021-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH1752235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist