Kristen Kaye Bowling
Individual provider Active NPI Speech-Language Pathologist · Prosper, TX
NPI 1962535401 · NPPES record last updated Jul 22, 2008
Key facts
- NPI
- 1962535401
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 101707 (TX)
- Practice address
- 711 Table Rock Dr
Prosper, TX 75078-8537 - Phone
- (214) 587-7478
- NPI assigned
- Mar 13, 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 |
|---|---|---|---|
| 101707 | TX | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 101707 | TX | Yes |
Addresses
Primary practice location
711 Table Rock Dr
Prosper, TX 75078-8537
Mailing address
711 Table Rock Dr
Prosper, TX 75078-8537
Phone (214) 587-7478
Other providers in Prosper, TX
- Andrew Kamal Boulos
- Tiffany Boulware
- Emily Renee Bouyea
- Kanika Alake Bowen-Jallow
- Jacquelyn Bowen
- Jalisa Laray Boyd
- Bradford White, PHD, PLLC
- Jaime Bradley
- Kenyada Bradley
- Brain & Body Boost, LLC
All providers in Prosper, TX · Speech-Language Pathologist in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 22, 2008. 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.