Provider Demographics
NPI:1669626248
Name:TESTANI, KRISTIN FRANCINE (MS CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:KRISTIN
Middle Name:FRANCINE
Last Name:TESTANI
Suffix:
Gender:F
Credentials:MS CCC-SLP
Other - Prefix:MISS
Other - First Name:KRISTIN
Other - Middle Name:FRANCINE
Other - Last Name:SPRANCE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS CCC-SLP
Mailing Address - Street 1:1746 BELMONT AVE
Mailing Address - Street 2:
Mailing Address - City:NEW HYDE PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11040-4054
Mailing Address - Country:US
Mailing Address - Phone:516-238-9405
Mailing Address - Fax:516-414-0160
Practice Address - Street 1:1746 BELMONT AVE
Practice Address - Street 2:
Practice Address - City:NEW HYDE PARK
Practice Address - State:NY
Practice Address - Zip Code:11040-4054
Practice Address - Country:US
Practice Address - Phone:516-238-9405
Practice Address - Fax:516-414-0160
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-10
Last Update Date:2008-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY017132-1235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist