Provider Demographics
NPI:1205155041
Name:UZOH, KRISTIN JOIDIAN (MA, CCC-SLP)
Entity type:Individual
Prefix:MRS
First Name:KRISTIN
Middle Name:JOIDIAN
Last Name:UZOH
Suffix:
Gender:F
Credentials:MA, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9019 GARLAND RD
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75218-3920
Mailing Address - Country:US
Mailing Address - Phone:214-646-3554
Mailing Address - Fax:214-705-3755
Practice Address - Street 1:9019 GARLAND RD
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75218-3920
Practice Address - Country:US
Practice Address - Phone:214-646-3554
Practice Address - Fax:214-705-3755
Is Sole Proprietor?:No
Enumeration Date:2010-05-19
Last Update Date:2019-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX103714235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist