Provider Demographics
NPI:1407379696
Name:ALESHIRE, KRISTIN MAURA (AUD, MA-SLP)
Entity Type:Individual
Prefix:
First Name:KRISTIN
Middle Name:MAURA
Last Name:ALESHIRE
Suffix:
Gender:F
Credentials:AUD, MA-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:775 BARTFIELD DR
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43207-4153
Mailing Address - Country:US
Mailing Address - Phone:740-704-6892
Mailing Address - Fax:
Practice Address - Street 1:775 BARTFIELD DR
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43207-4153
Practice Address - Country:US
Practice Address - Phone:740-704-6892
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-07-20
Last Update Date:2021-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH235Z00000X
OHA.01916231H00000X
OHCOND.20211706-SP235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
No231H00000XSpeech, Language and Hearing Service ProvidersAudiologist