Provider Demographics
NPI:1265067037
Name:NORTON, KIRSTEN CRESHO (MSP, CCC-SLP, IBCLC)
Entity type:Individual
Prefix:
First Name:KIRSTEN
Middle Name:CRESHO
Last Name:NORTON
Suffix:
Gender:F
Credentials:MSP, CCC-SLP, IBCLC
Other - Prefix:
Other - First Name:KIRSTEN
Other - Middle Name:MARIE
Other - Last Name:CRESHO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:250 BRAEMAR DR
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:SC
Mailing Address - Zip Code:29073-9797
Mailing Address - Country:US
Mailing Address - Phone:843-860-9497
Mailing Address - Fax:
Practice Address - Street 1:250 BRAEMAR DR
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:SC
Practice Address - Zip Code:29073-9797
Practice Address - Country:US
Practice Address - Phone:843-860-9497
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-03-11
Last Update Date:2024-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC7034235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist