Provider Demographics
NPI:1497888416
Name:SLAWSON, KRISTIN KAY (MA, CCC-SLP)
Entity Type:Individual
Prefix:
First Name:KRISTIN
Middle Name:KAY
Last Name:SLAWSON
Suffix:
Gender:F
Credentials:MA, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:110 LEFRAK HALL
Mailing Address - Street 2:UNIVERSITY OF MARYLAND
Mailing Address - City:COLLEGE PARK
Mailing Address - State:MD
Mailing Address - Zip Code:20742-8200
Mailing Address - Country:US
Mailing Address - Phone:301-405-4218
Mailing Address - Fax:301-314-2023
Practice Address - Street 1:110 LEFRAK HALL
Practice Address - Street 2:UNIVERSITY OF MARYLAND
Practice Address - City:COLLEGE PARK
Practice Address - State:MD
Practice Address - Zip Code:20742-8200
Practice Address - Country:US
Practice Address - Phone:301-405-4218
Practice Address - Fax:301-314-2023
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-13
Last Update Date:2013-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD05412235Z00000X
PASL008091235Z00000X
12053601235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist