NPI 1366579435

Kristen Samara Long, MACCCSLP

Practitioner Speech-Language Pathologist Andover, KS

Practice location

Address: 621 W 21st St, Andover, KS 67002-8498
Phone: (316) 733-1349
Fax: (316) 733-5883
Mailing address: 8424 W Mystic Lakes South St, Maize, KS 67101-8602

Registered specialties

Speech-Language Pathologist Primary

Speech, Language and Hearing Service Providers Taxonomy 235Z00000X Licence 1767 (KS)

Other Speech-Language Pathologist providers in Kansas →

Registry record

NPI: 1366579435
Entity type: Individual
Sex (as registered): Female
NPI issued: 27 Feb 2007
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.