Kristin Marie Jordan, M.S. CCC-SLP
Individual provider Active NPI Speech-Language Pathologist · Fairview, PA
NPI 1992170823 · NPPES record last updated Dec 3, 2015
Key facts
- NPI
- 1992170823
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- SL012458 (PA)
- Practice address
- 900 Manchester Rd
Fairview, PA 16415-1703 - Phone
- (814) 838-4822
- Fax
- (814) 833-8356
- NPI assigned
- Dec 3, 2015
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| SL012458 | PA | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SL012458 | PA | Yes |
Addresses
Primary practice location
900 Manchester Rd
Fairview, PA 16415-1703
Mailing address
1100 Shawnee Road
Lima, OH 45805
Phone (419) 999-2030
Other providers in Fairview, PA
- Araceli C Hirtle
- Laurie Jackson Hudson
- Heather Hurst
- Ellen S Jackson Strobel
- Anne Marie Jeffreys
- Kathleen Marie Junkin
- K.D. Andryc DDS and Dental Associates PC
- Amanda Jean Kucic
- John Dennis Leonard
- David Ralph Levan
All providers in Fairview, PA · Speech-Language Pathologist in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 3, 2015. 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.