Provider Demographics
NPI:1730499708
Name:HAMALAINEN, KRISTINA MARIE
Entity Type:Individual
Prefix:
First Name:KRISTINA
Middle Name:MARIE
Last Name:HAMALAINEN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4244 BETTY BROOK RD
Mailing Address - Street 2:
Mailing Address - City:SOUTH KORTRIGHT
Mailing Address - State:NY
Mailing Address - Zip Code:13842-2234
Mailing Address - Country:US
Mailing Address - Phone:607-643-3009
Mailing Address - Fax:
Practice Address - Street 1:1136 TERRY CLOVE RD
Practice Address - Street 2:
Practice Address - City:DELANCEY
Practice Address - State:NY
Practice Address - Zip Code:13752-4148
Practice Address - Country:US
Practice Address - Phone:607-643-3009
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-10-08
Last Update Date:2013-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY020527235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist