Provider Demographics
NPI:1518216084
Name:GARFIELD, CRISTIN MICHELLE (MS, CCC-SLP, CLC)
Entity Type:Individual
Prefix:MRS
First Name:CRISTIN
Middle Name:MICHELLE
Last Name:GARFIELD
Suffix:
Gender:F
Credentials:MS, CCC-SLP, CLC
Other - Prefix:MS
Other - First Name:CRISTI
Other - Middle Name:
Other - Last Name:FARRELL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:23 ROSE TREE DR
Mailing Address - Street 2:
Mailing Address - City:BROOMALL
Mailing Address - State:PA
Mailing Address - Zip Code:19008-2241
Mailing Address - Country:US
Mailing Address - Phone:484-574-4188
Mailing Address - Fax:
Practice Address - Street 1:190 W SPROUL RD
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:PA
Practice Address - Zip Code:19064-2027
Practice Address - Country:US
Practice Address - Phone:610-328-8800
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-08-30
Last Update Date:2020-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEO4-0000351235Z00000X
PA14033497235Z00000X
MD08468235Z00000X
DCSLP000763235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist