Christina Denise Kleckner, MA/CCC/SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SP 16977 Issued in CA

Practice address

191 Burton Mesa Blvd
Suite B
Lompoc, CA 93436-1400

Phone

(805) 733-4542

Fax

(805) 733-4392

NPI assigned

Aug 28, 2008

Last updated

Aug 28, 2008By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Miss Christina Denise Hartill Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1219881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219881600000",
    "number": "1134377401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "549 PALOMAR CIR",
            "city": "LOMPOC",
            "state": "CA",
            "postal_code": "934361949",
            "telephone_number": "805-733-7306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "191 BURTON MESA BLVD",
            "address_2": "SUITE B",
            "city": "LOMPOC",
            "state": "CA",
            "postal_code": "934361400",
            "telephone_number": "805-733-4542",
            "fax_number": "805-733-4392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLECKNER",
        "first_name": "CHRISTINA",
        "middle_name": "DENISE",
        "name_prefix": "Mrs.",
        "credential": "MA/CCC/SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-08-28",
        "last_updated": "2008-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "SP 16977",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTINA",
            "last_name": "HARTILL",
            "middle_name": "DENISE",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Suzann Mary Kindell
• Chantal J King
• Robert Warren Kirsch
• Marissa Nadine Kirwin
• Mikal Kirwin
• Turtle K a. Klein
• Vivian Muangsiri Kleiser, CCC-SLP
• Janis R. Knox, MA MFT
• Loraine Christiane Koff, EF9F228124
• Nicholas A Kormos

• Speech-Language Pathologist in Lompoc, CA
• Providers in Lompoc, CA by specialty
• Speech-Language Pathologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.