Kristin Jarvis Howard, MS CCC-SLP

Individual provider Active NPI Speech-Language Pathologist · Vail, AZ

NPI 1780726596 · NPPES record last updated Jul 9, 2007

Key facts

NPI
1780726596
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
SLP2059 (AZ)
Practice address
13725 E Via Valderama
Vail, AZ 85641-6492
Phone
(520) 907-1338
NPI assigned
Feb 12, 2007
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
SLP2059AZMDSpeech-Language Pathologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SLP2059 AZ Yes

Addresses

Primary practice location

13725 E Via Valderama
Vail, AZ 85641-6492

Mailing address

13725 E Via Valderama
Vail, AZ 85641-6492
Phone (520) 907-1338

Other identifiers

IdentifierTypeStateIssuer
724717MedicaidAZ

Other providers in Vail, AZ

All providers in Vail, AZ · Speech-Language Pathologist in Arizona

Sources for this page

Verify at the official NPI Registry.