Provider Demographics
NPI:1386165454
Name:JAMES, KRISTINA (MSCCC-SLP)
Entity type:Individual
Prefix:MRS
First Name:KRISTINA
Middle Name:
Last Name:JAMES
Suffix:
Gender:F
Credentials:MSCCC-SLP
Other - Prefix:
Other - First Name:KRISTINA
Other - Middle Name:
Other - Last Name:CANGEMI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS,CCC-SLP
Mailing Address - Street 1:88 MONROE ST
Mailing Address - Street 2:
Mailing Address - City:SARATOGA SPRINGS
Mailing Address - State:NY
Mailing Address - Zip Code:12866-5014
Mailing Address - Country:US
Mailing Address - Phone:718-619-6441
Mailing Address - Fax:
Practice Address - Street 1:88 MONROE ST
Practice Address - Street 2:
Practice Address - City:SARATOGA SPRINGS
Practice Address - State:NY
Practice Address - Zip Code:12866
Practice Address - Country:US
Practice Address - Phone:718-619-6441
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-06-29
Last Update Date:2018-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY026287235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist