Provider Demographics
NPI:1356367544
Name:SAAR, KRISTY (MA)
Entity type:Individual
Prefix:
First Name:KRISTY
Middle Name:
Last Name:SAAR
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:43W820 OLD MIDLOTHIAN RD
Mailing Address - Street 2:
Mailing Address - City:ELBURN
Mailing Address - State:IL
Mailing Address - Zip Code:60119-9662
Mailing Address - Country:US
Mailing Address - Phone:630-639-8119
Mailing Address - Fax:
Practice Address - Street 1:43W820 OLD MIDLOTHIAN RD
Practice Address - Street 2:
Practice Address - City:ELBURN
Practice Address - State:IL
Practice Address - Zip Code:60119-9662
Practice Address - Country:US
Practice Address - Phone:630-639-8119
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-14
Last Update Date:2008-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL242000229235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist