Provider Demographics
NPI:1013171503
Name:D'CUNHA, KRISTINE RACHEL (MA, CCC-A)
Entity Type:Individual
Prefix:MRS
First Name:KRISTINE
Middle Name:RACHEL
Last Name:D'CUNHA
Suffix:
Gender:F
Credentials:MA, CCC-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1600 COIT RD
Mailing Address - Street 2:STE 103
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75075-6174
Mailing Address - Country:US
Mailing Address - Phone:972-867-9135
Mailing Address - Fax:972-612-5048
Practice Address - Street 1:1600 COIT RD
Practice Address - Street 2:STE 103
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75075-6174
Practice Address - Country:US
Practice Address - Phone:972-867-9135
Practice Address - Fax:972-612-5048
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-14
Last Update Date:2009-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX51203231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8L20062Medicare PIN