Provider Demographics
NPI:1215257456
Name:DELAUNEY, KRISTEN (AUD)
Entity type:Individual
Prefix:
First Name:KRISTEN
Middle Name:
Last Name:DELAUNEY
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:704 MEDICAL CENTER PKWY
Mailing Address - Street 2:
Mailing Address - City:BOAZ
Mailing Address - State:AL
Mailing Address - Zip Code:35957-5935
Mailing Address - Country:US
Mailing Address - Phone:256-593-7266
Mailing Address - Fax:256-840-9833
Practice Address - Street 1:704 MEDICAL CENTER PKWY
Practice Address - Street 2:
Practice Address - City:BOAZ
Practice Address - State:AL
Practice Address - Zip Code:35957-5935
Practice Address - Country:US
Practice Address - Phone:256-593-7266
Practice Address - Fax:256-840-9833
Is Sole Proprietor?:No
Enumeration Date:2010-06-10
Last Update Date:2010-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1061A231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist