Provider Demographics
NPI:1447426333
Name:MOHR, KRISTI MARIE (AUD, CCC-A, FAAA)
Entity Type:Individual
Prefix:DR
First Name:KRISTI
Middle Name:MARIE
Last Name:MOHR
Suffix:
Gender:F
Credentials:AUD, CCC-A, FAAA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:37 RESEARCH WAY
Mailing Address - Street 2:
Mailing Address - City:EAST SETAUKET
Mailing Address - State:NY
Mailing Address - Zip Code:11733-3465
Mailing Address - Country:US
Mailing Address - Phone:631-638-4142
Mailing Address - Fax:631-444-4345
Practice Address - Street 1:37 RESEARCH WAY
Practice Address - Street 2:
Practice Address - City:EAST SETAUKET
Practice Address - State:NY
Practice Address - Zip Code:11733-3465
Practice Address - Country:US
Practice Address - Phone:631-638-4142
Practice Address - Fax:631-444-4345
Is Sole Proprietor?:No
Enumeration Date:2008-05-01
Last Update Date:2015-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY001664231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist