Provider Demographics
NPI:1891884987
Name:YADEN, KRISTEN L (SLP)
Entity Type:Individual
Prefix:
First Name:KRISTEN
Middle Name:L
Last Name:YADEN
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:KRISTEN
Other - Middle Name:L
Other - Last Name:OCHS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:SLP
Mailing Address - Street 1:13319 STEPPING STONE WAY
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40299-5189
Mailing Address - Country:US
Mailing Address - Phone:502-386-8509
Mailing Address - Fax:
Practice Address - Street 1:13319 STEPPING STONE WAY
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40299-5189
Practice Address - Country:US
Practice Address - Phone:502-386-8509
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-12
Last Update Date:2014-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KYKY-2270235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist