Provider Demographics
NPI:1861681827
Name:PATTERSON, KRISTI (SLP)
Entity Type:Individual
Prefix:MS
First Name:KRISTI
Middle Name:
Last Name:PATTERSON
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4117 JANICE CT
Mailing Address - Street 2:
Mailing Address - City:NORTH PLATTE
Mailing Address - State:NE
Mailing Address - Zip Code:69101-9708
Mailing Address - Country:US
Mailing Address - Phone:615-896-6400
Mailing Address - Fax:615-896-5177
Practice Address - Street 1:2900 W E ST
Practice Address - Street 2:
Practice Address - City:NORTH PLATTE
Practice Address - State:NE
Practice Address - Zip Code:69101-1803
Practice Address - Country:US
Practice Address - Phone:615-896-6400
Practice Address - Fax:615-896-5177
Is Sole Proprietor?:No
Enumeration Date:2007-10-16
Last Update Date:2007-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE1166235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist