Provider Demographics
NPI:1699579995
Name:SEARS SPENCER, KHRYSTEN ONE'E (MS, CC-SLP)
Entity type:Individual
Prefix:
First Name:KHRYSTEN
Middle Name:ONE'E
Last Name:SEARS SPENCER
Suffix:
Gender:
Credentials:MS, CC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:301 NE 2ND ST
Mailing Address - Street 2:
Mailing Address - City:BELLE GLADE
Mailing Address - State:FL
Mailing Address - Zip Code:33430-3158
Mailing Address - Country:US
Mailing Address - Phone:561-713-0633
Mailing Address - Fax:
Practice Address - Street 1:301 NE 2ND ST
Practice Address - Street 2:
Practice Address - City:BELLE GLADE
Practice Address - State:FL
Practice Address - Zip Code:33430-3158
Practice Address - Country:US
Practice Address - Phone:561-713-0633
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-03
Last Update Date:2025-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSA14555235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist