Kristie J Croom, SLP
Individual provider Active NPI Speech-Language Pathologist · Alexander, AR
NPI 1508079252 · NPPES record last updated Jul 9, 2007
Key facts
- NPI
- 1508079252
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- SP#2293 (AR)
- Practice address
- 13476 Alexis Dr
Alexander, AR 72002-7304 - Phone
- (501) 350-7673
- NPI assigned
- May 8, 2007
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP#2293 | AR | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SP#2293 | AR | Yes |
Addresses
Primary practice location
13476 Alexis Dr
Alexander, AR 72002-7304
Mailing address
13476 Alexis Dr
Alexander, AR 72002-7304
Phone (501) 350-7673
Other providers in Alexander, AR
- 1St Interventions Transport
- Preston Adami
- Jessica Nicole Allison
- Arkansas Quality Therapy Co.
- Jennifer Lynne Carter
- Lindsey Diane Dowdy
- Holly Marie Duck
- Aimee Michele Dupriest
- Elite Medical Connections, LLC
- Endeavor Counseling LLC
All providers in Alexander, AR · Speech-Language Pathologist in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 9, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.