Provider Demographics
NPI:1710467089
Name:DAVIS, KRISTEN (CF, SLP)
Entity Type:Individual
Prefix:
First Name:KRISTEN
Middle Name:
Last Name:DAVIS
Suffix:
Gender:F
Credentials:CF, SLP
Other - Prefix:
Other - First Name:KRISTEN
Other - Middle Name:DAVIS
Other - Last Name:SCHWANDES
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:2323 ARTHUR AVE
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20902-5601
Mailing Address - Country:US
Mailing Address - Phone:727-415-0074
Mailing Address - Fax:
Practice Address - Street 1:511 JERMOR LN STE 102
Practice Address - Street 2:
Practice Address - City:WESTMINSTER
Practice Address - State:MD
Practice Address - Zip Code:21157-6152
Practice Address - Country:US
Practice Address - Phone:410-871-2494
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-08-16
Last Update Date:2023-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist