Graves, Kristin
Graves, Kristin is an sole proprietor health care provider with primary practice located at 1908 Barry Ave , Los Angeles CA 90025-5309. 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. Graves, Kristin can be contacted via phone (310) 903-7395.Contact Information
Primary practice address
1908 Barry Ave
Los Angeles CA 90025-5309
Phone: (310) 903-7395
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | 13902 | California |
Profile Details
| NPI number | 1457820490 |
|---|---|
| LBN Legal business name | Graves, Kristin |
| Credentials | MS, CCC-SLP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 20th, 2018 |
| Last updated | Nov 20th, 2018 - about 8 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 | 1457820490 | NPPES |
| California | Other | 13902 | CA SPEECH LANGUAGE PATHOLOGY LICENCE |
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