Provider Demographics
NPI:1184282501
Name:VANPARYS, KRISTIN (AUD, CCC-A)
Entity type:Individual
Prefix:DR
First Name:KRISTIN
Middle Name:
Last Name:VANPARYS
Suffix:
Gender:F
Credentials:AUD, CCC-A
Other - Prefix:
Other - First Name:KRISTIN
Other - Middle Name:
Other - Last Name:BOUWHUIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:25500 MEADOWBROOK RD STE 220
Mailing Address - Street 2:
Mailing Address - City:NOVI
Mailing Address - State:MI
Mailing Address - Zip Code:48375-1882
Mailing Address - Country:US
Mailing Address - Phone:248-477-7020
Mailing Address - Fax:248-477-2440
Practice Address - Street 1:6249 GRAND RIVER RD
Practice Address - Street 2:
Practice Address - City:BRIGHTON
Practice Address - State:MI
Practice Address - Zip Code:48114-5305
Practice Address - Country:US
Practice Address - Phone:810-844-1900
Practice Address - Fax:810-844-1981
Is Sole Proprietor?:No
Enumeration Date:2019-05-31
Last Update Date:2022-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI1601000836231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist