Provider Demographics
NPI:1336452465
Name:HAMILTON LEAPTROT, KRISTEN ANN
Entity Type:Individual
Prefix:
First Name:KRISTEN
Middle Name:ANN
Last Name:HAMILTON LEAPTROT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1240 ASHFORD CENTER PKWY
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30338-2673
Mailing Address - Country:US
Mailing Address - Phone:404-642-6971
Mailing Address - Fax:
Practice Address - Street 1:1240 ASHFORD CENTER PKWY
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30338-2673
Practice Address - Country:US
Practice Address - Phone:404-642-6971
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-07-19
Last Update Date:2023-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GASLP007570235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist