Provider Demographics
NPI:1669673034
Name:CHESTNUT, KRISTI (MA CCC-SLP)
Entity type:Individual
Prefix:MRS
First Name:KRISTI
Middle Name:
Last Name:CHESTNUT
Suffix:
Gender:F
Credentials:MA CCC-SLP
Other - Prefix:MRS
Other - First Name:KRISTI
Other - Middle Name:
Other - Last Name:MOOR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS CCC-SLP
Mailing Address - Street 1:214 ENTRE RIOS BLVD
Mailing Address - Street 2:
Mailing Address - City:NEW BRAUNFELS
Mailing Address - State:TX
Mailing Address - Zip Code:78132-3390
Mailing Address - Country:US
Mailing Address - Phone:830-515-8341
Mailing Address - Fax:
Practice Address - Street 1:1060 ELBEL RD
Practice Address - Street 2:
Practice Address - City:SCHERTZ
Practice Address - State:TX
Practice Address - Zip Code:78154-2037
Practice Address - Country:US
Practice Address - Phone:210-619-4624
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-31
Last Update Date:2025-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX16974235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist