Provider Demographics
NPI:1417766502
Name:MALDONADO, KRISTINE ESPINO
Entity type:Individual
Prefix:
First Name:KRISTINE
Middle Name:ESPINO
Last Name:MALDONADO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2 STADIUM DR APT 2101
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77498-1856
Mailing Address - Country:US
Mailing Address - Phone:832-877-3659
Mailing Address - Fax:
Practice Address - Street 1:2 STADIUM DR APT 2101
Practice Address - Street 2:
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77498-1856
Practice Address - Country:US
Practice Address - Phone:832-877-3659
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-03
Last Update Date:2025-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX40093235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist