Provider Demographics
NPI:1588971469
Name:SIMONE, KRISTINA (MS SLP TSSLD)
Entity type:Individual
Prefix:MS
First Name:KRISTINA
Middle Name:
Last Name:SIMONE
Suffix:
Gender:F
Credentials:MS SLP TSSLD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2560 BATCHELDER STREET, APT 80
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11235
Mailing Address - Country:US
Mailing Address - Phone:917-346-9569
Mailing Address - Fax:
Practice Address - Street 1:2560 BATCHELDER STREET, APT 80
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11235
Practice Address - Country:US
Practice Address - Phone:917-346-9569
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-09-13
Last Update Date:2013-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist