Provider Demographics
NPI:1578957957
Name:HARTZ, KRISTIE LAUREN (MA CF-SLP)
Entity Type:Individual
Prefix:MS
First Name:KRISTIE
Middle Name:LAUREN
Last Name:HARTZ
Suffix:
Gender:F
Credentials:MA CF-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:318 E 6TH AVE
Mailing Address - Street 2:
Mailing Address - City:CONSHOHOCKEN
Mailing Address - State:PA
Mailing Address - Zip Code:19428-1721
Mailing Address - Country:US
Mailing Address - Phone:610-442-7898
Mailing Address - Fax:
Practice Address - Street 1:2 W LAFAYETTE ST
Practice Address - Street 2:
Practice Address - City:NORRISTOWN
Practice Address - State:PA
Practice Address - Zip Code:19401-4758
Practice Address - Country:US
Practice Address - Phone:610-539-8550
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-03-24
Last Update Date:2015-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist