Provider Demographics
NPI:1649591793
Name:OLSZEWSKI, KRISTA (MS CCC-SLP)
Entity Type:Individual
Prefix:
First Name:KRISTA
Middle Name:
Last Name:OLSZEWSKI
Suffix:
Gender:F
Credentials:MS CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1820 R W BERENDS DR SW
Mailing Address - Street 2:APT. 5
Mailing Address - City:WYOMING
Mailing Address - State:MI
Mailing Address - Zip Code:49519-4959
Mailing Address - Country:US
Mailing Address - Phone:419-260-3988
Mailing Address - Fax:
Practice Address - Street 1:1820 R W BERENDS DR SW
Practice Address - Street 2:APT. 5
Practice Address - City:WYOMING
Practice Address - State:MI
Practice Address - Zip Code:49519-4959
Practice Address - Country:US
Practice Address - Phone:419-260-3988
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-11
Last Update Date:2010-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist