Provider Demographics
NPI:1457525354
Name:FOLLMER, KRISTA J (AUD)
Entity Type:Individual
Prefix:DR
First Name:KRISTA
Middle Name:J
Last Name:FOLLMER
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:DR
Other - First Name:KRISTA
Other - Middle Name:J
Other - Last Name:HEINLEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:AUD
Mailing Address - Street 1:601 N CAROLINE ST
Mailing Address - Street 2:SUITE 6007
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21287-0006
Mailing Address - Country:US
Mailing Address - Phone:410-955-6151
Mailing Address - Fax:410-955-7950
Practice Address - Street 1:601 N CAROLINE ST
Practice Address - Street 2:SUITE 6007
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21287-0006
Practice Address - Country:US
Practice Address - Phone:410-955-6151
Practice Address - Fax:410-955-7950
Is Sole Proprietor?:No
Enumeration Date:2008-04-22
Last Update Date:2010-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist