Provider Demographics
NPI:1093439143
Name:FLORES, CHRISTY ERIN (MS,CCC-SLP)
Entity Type:Individual
Prefix:
First Name:CHRISTY
Middle Name:ERIN
Last Name:FLORES
Suffix:
Gender:F
Credentials:MS,CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10085 HIGHWAY 70
Mailing Address - Street 2:
Mailing Address - City:LAKELAND
Mailing Address - State:TN
Mailing Address - Zip Code:38002-8068
Mailing Address - Country:US
Mailing Address - Phone:901-488-9666
Mailing Address - Fax:
Practice Address - Street 1:10085 HIGHWAY 70
Practice Address - Street 2:
Practice Address - City:LAKELAND
Practice Address - State:TN
Practice Address - Zip Code:38002-8068
Practice Address - Country:US
Practice Address - Phone:901-488-9666
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-10-03
Last Update Date:2022-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN6058235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist