Provider Demographics
NPI:1265789788
Name:BECK, KRISTINA PARSONS (MS, CCC-SLP)
Entity type:Individual
Prefix:MRS
First Name:KRISTINA
Middle Name:PARSONS
Last Name:BECK
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:MISS
Other - First Name:KRISTINA
Other - Middle Name:MARIE
Other - Last Name:PARSONS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:13409 S 19TH CT
Mailing Address - Street 2:
Mailing Address - City:BIXBY
Mailing Address - State:OK
Mailing Address - Zip Code:74008-1008
Mailing Address - Country:US
Mailing Address - Phone:918-557-2820
Mailing Address - Fax:
Practice Address - Street 1:1808 S HICKORY ST
Practice Address - Street 2:
Practice Address - City:SAPULPA
Practice Address - State:OK
Practice Address - Zip Code:74066-6219
Practice Address - Country:US
Practice Address - Phone:918-224-5531
Practice Address - Fax:918-224-1739
Is Sole Proprietor?:No
Enumeration Date:2012-08-14
Last Update Date:2017-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK3631235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist