Provider Demographics
NPI:1366727067
Name:ABRAMS, KIRSTIN ANNA STEIN (MS)
Entity type:Individual
Prefix:
First Name:KIRSTIN
Middle Name:ANNA STEIN
Last Name:ABRAMS
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:KIRSTIN
Other - Middle Name:ANNA HAUGSE
Other - Last Name:STEIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS
Mailing Address - Street 1:2367 N 63RD ST
Mailing Address - Street 2:
Mailing Address - City:WAUWATOSA
Mailing Address - State:WI
Mailing Address - Zip Code:53213-1543
Mailing Address - Country:US
Mailing Address - Phone:312-806-0241
Mailing Address - Fax:
Practice Address - Street 1:1000 N 92ND ST
Practice Address - Street 2:
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53226-3533
Practice Address - Country:US
Practice Address - Phone:262-782-9015
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-10-13
Last Update Date:2023-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL146010811235Z00000X
WI4188-154235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist