Vincent, Kristen Elizabeth
Vincent, Kristen Elizabeth is an individual health care provider with primary practice located at 4711 Golf Rd Ste 1100 , Skokie IL 60076-1249. 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. Vincent, Kristen Elizabeth can be contacted via phone (847) 763-7930.Contact Information
Primary practice address
4711 Golf Rd Ste 1100
Skokie IL 60076-1249
Phone: (847) 763-7930
Fax: (847) 933-0874
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | SA6281 | Florida |
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | 146.010616 | Illinois |
Profile Details
| NPI number | 1437225646 |
|---|---|
| LBN Legal business name | Vincent, Kristen Elizabeth |
| Credentials | M.A., CCC-SLP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 28th, 2006 |
| Last updated | Nov 9th, 2017 - about 9 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 | 1437225646 | NPPES |
| Florida | MEDICAID | 811973200 | |
| Florida | MEDICAID | 886750000 | |
| Florida | MEDICAID | 1437225646 | |
| Florida | Other | S2247 |
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