Provider Demographics
NPI:1417364381
Name:BARBERA-MEJIA, KRISTEN A (MA;CCC-SLP;TSHH)
Entity Type:Individual
Prefix:MS
First Name:KRISTEN
Middle Name:A
Last Name:BARBERA-MEJIA
Suffix:
Gender:F
Credentials:MA;CCC-SLP;TSHH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:187 RUMSEY RD
Mailing Address - Street 2:2A
Mailing Address - City:YONKERS
Mailing Address - State:NY
Mailing Address - Zip Code:10705-1563
Mailing Address - Country:US
Mailing Address - Phone:914-255-8608
Mailing Address - Fax:
Practice Address - Street 1:187 RUMSEY RD
Practice Address - Street 2:2A
Practice Address - City:YONKERS
Practice Address - State:NY
Practice Address - Zip Code:10705-1563
Practice Address - Country:US
Practice Address - Phone:914-255-8608
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-07-12
Last Update Date:2017-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY018387-1235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist