Bresciano, Kristin

Bresciano, Kristin is an individual health care provider with primary practice located at 2221 W Detroit St , Broken Arrow OK 74012-3628. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Bresciano, Kristin can be contacted via phone (918) 615-6492.

Contact Information

Primary practice address
2221 W Detroit St Broken Arrow OK 74012-3628
Phone: (918) 615-6492
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 3127 Oklahoma

Profile Details

NPI number 1821167743
LBN Legal business name Bresciano, Kristin
Credentials CCC-SLP
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 7th, 2006
Last updated May 18th, 2009 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1821167743 NPPES
Oklahoma MEDICAID 200076310A

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