Provider Demographics
NPI:1154553634
Name:DUMONT, KRISTI ANN (AUD, CCC-A)
Entity type:Individual
Prefix:
First Name:KRISTI
Middle Name:ANN
Last Name:DUMONT
Suffix:
Gender:F
Credentials:AUD, CCC-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:32 MAPLEVILLE DEPOT
Mailing Address - Street 2:
Mailing Address - City:SAINT ALBANS
Mailing Address - State:VT
Mailing Address - Zip Code:05478-1857
Mailing Address - Country:US
Mailing Address - Phone:802-524-0839
Mailing Address - Fax:802-527-0865
Practice Address - Street 1:32 MAPLEVILLE DEPOT
Practice Address - Street 2:
Practice Address - City:SAINT ALBANS
Practice Address - State:VT
Practice Address - Zip Code:05478-1857
Practice Address - Country:US
Practice Address - Phone:802-524-0839
Practice Address - Fax:802-527-0865
Is Sole Proprietor?:No
Enumeration Date:2009-08-17
Last Update Date:2014-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter
Provider Identifiers
StateIdentifier IDID TypeIssuer
VT02116401Medicare UPIN