Couture, Kristin Marie
Couture, Kristin Marie is an individual health care provider with primary practice located at 4405 Evans To Locks Rd Ste C , Evans GA 30809-3603. 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. Couture, Kristin Marie can be contacted via phone (706) 854-1598.Contact Information
Primary practice address
4405 Evans To Locks Rd Ste C
Evans GA 30809-3603
Phone: (706) 854-1598
Fax: (706) 854-8136
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | SLP003085 | Georgia |
Profile Details
| NPI number | 1104999325 |
|---|---|
| LBN Legal business name | Couture, Kristin Marie |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 16th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1104999325 | NPPES |
| Georgia | MEDICAID | 00897586B | |
| Georgia | Other | 10038318 | |
| Georgia | Other | 305694 |
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