Provider Demographics
NPI:1164707063
Name:STELLER, KRISTEN MEAD (CF-SLP)
Entity Type:Individual
Prefix:
First Name:KRISTEN
Middle Name:MEAD
Last Name:STELLER
Suffix:
Gender:F
Credentials:CF-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1630 BOYLSTON AVE
Mailing Address - Street 2:APT. 202
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98122-2201
Mailing Address - Country:US
Mailing Address - Phone:203-520-8087
Mailing Address - Fax:
Practice Address - Street 1:1630 BOYLSTON AVE
Practice Address - Street 2:APT. 202
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98122-2201
Practice Address - Country:US
Practice Address - Phone:203-520-8087
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-12
Last Update Date:2011-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist