Provider Demographics
NPI:1821497660
Name:LANIER, KRISTI DEE (MS CCC/SLP)
Entity Type:Individual
Prefix:MRS
First Name:KRISTI
Middle Name:DEE
Last Name:LANIER
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 1:6011 CALDICOTE ST
Mailing Address - Street 2:
Mailing Address - City:HUMBLE
Mailing Address - State:TX
Mailing Address - Zip Code:77346-2775
Mailing Address - Country:US
Mailing Address - Phone:713-503-0989
Mailing Address - Fax:
Practice Address - Street 1:6011 CALDICOTE ST
Practice Address - Street 2:
Practice Address - City:HUMBLE
Practice Address - State:TX
Practice Address - Zip Code:77346-2775
Practice Address - Country:US
Practice Address - Phone:713-503-0989
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-08-18
Last Update Date:2014-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX16951235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist