Provider Demographics
NPI:1760852909
Name:BARTH, KRISTIN
Entity Type:Individual
Prefix:
First Name:KRISTIN
Middle Name:
Last Name:BARTH
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:PO BOX 81703
Mailing Address - Street 2:
Mailing Address - City:BILLINGS
Mailing Address - State:MT
Mailing Address - Zip Code:59108-1703
Mailing Address - Country:US
Mailing Address - Phone:406-534-2087
Mailing Address - Fax:
Practice Address - Street 1:2110 OVERLAND AVE
Practice Address - Street 2:SUITE 105
Practice Address - City:BILLINGS
Practice Address - State:MT
Practice Address - Zip Code:59102-6480
Practice Address - Country:US
Practice Address - Phone:406-534-2087
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-09-30
Last Update Date:2015-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MTSLP-SP-LIC-4020235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist