Kristina Lee, M.S.,CCC-SLP
Individual provider Active NPI Speech-Language Pathologist · Calhoun, GA
NPI 1871996751 · NPPES record last updated Oct 6, 2014
Key facts
- NPI
- 1871996751
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- SLP008371 (GA)
- Practice address
- 365 S Industrial Blvd
Calhoun, GA 30701-3075 - Phone
- (706) 624-3000
- Fax
- (706) 624-3001
- NPI assigned
- Oct 6, 2014
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
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
| License | State | Type | Specialty |
|---|---|---|---|
| SLP008371 | GA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advance Rehabilitation for Kids of Gordon County, Inc | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SLP008371 | GA | Yes |
Addresses
Primary practice location
365 S Industrial Blvd
Calhoun, GA 30701-3075
Mailing address
365 S Industrial Blvd
Calhoun, GA 30701-3075
Phone (706) 624-3000
Other providers in Calhoun, GA
- Jason Craig Ledford
- Tonya Ledford
- Daniel Lee
- Hak J Lee
- Jae Woo Lee
- Lindy Lee
- Megan Lee
- Debra Ann Leonard
- Rochelle Y Lepor
- Scott E Lepor
All providers in Calhoun, GA · Speech-Language Pathologist in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 6, 2014. 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.