Provider Demographics
NPI:1275768210
Name:PERRY, KRISTINE V (MS, CCC-SLP)
Entity Type:Individual
Prefix:
First Name:KRISTINE
Middle Name:V
Last Name:PERRY
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:KRISTINE
Other - Middle Name:V
Other - Last Name:MASLAUSKAS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, CCC-SLP
Mailing Address - Street 1:392 BRENDA LN
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:MA
Mailing Address - Zip Code:02038-2840
Mailing Address - Country:US
Mailing Address - Phone:413-627-3428
Mailing Address - Fax:
Practice Address - Street 1:392 BRENDA LN
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:MA
Practice Address - Zip Code:02038-2840
Practice Address - Country:US
Practice Address - Phone:413-627-3428
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-20
Last Update Date:2014-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist