Provider Demographics
NPI:1346487840
Name:BUCHANAN, KRISTINE L (MS CCC-SLP)
Entity Type:Individual
Prefix:MS
First Name:KRISTINE
Middle Name:L
Last Name:BUCHANAN
Suffix:
Gender:F
Credentials:MS CCC-SLP
Other - Prefix:MS
Other - First Name:KRISTINE
Other - Middle Name:L
Other - Last Name:CHANEY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MS CCC-SLP
Mailing Address - Street 1:105 GLENCASTLE CT
Mailing Address - Street 2:
Mailing Address - City:HIGHLAND VILLAGE
Mailing Address - State:TX
Mailing Address - Zip Code:75077-3158
Mailing Address - Country:US
Mailing Address - Phone:972-317-7697
Mailing Address - Fax:
Practice Address - Street 1:105 GLENCASTLE CT
Practice Address - Street 2:
Practice Address - City:HIGHLAND VILLAGE
Practice Address - State:TX
Practice Address - Zip Code:75077-3158
Practice Address - Country:US
Practice Address - Phone:972-317-7697
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-01-21
Last Update Date:2024-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX102672235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist