Provider Demographics
NPI:1700324217
Name:SCIARAPPA, KRISTEN L (MA CCC/SLP)
Entity Type:Individual
Prefix:MRS
First Name:KRISTEN
Middle Name:L
Last Name:SCIARAPPA
Suffix:
Gender:F
Credentials:MA CCC/SLP
Other - Prefix:MS
Other - First Name:KRISTEN
Other - Middle Name:L
Other - Last Name:GRAHAM
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA CCC/SLP
Mailing Address - Street 1:430 WYANDOTTE PL
Mailing Address - Street 2:
Mailing Address - City:HURON
Mailing Address - State:OH
Mailing Address - Zip Code:44839-1862
Mailing Address - Country:US
Mailing Address - Phone:419-602-1614
Mailing Address - Fax:
Practice Address - Street 1:430 WYANDOTTE PL
Practice Address - Street 2:
Practice Address - City:HURON
Practice Address - State:OH
Practice Address - Zip Code:44839-1862
Practice Address - Country:US
Practice Address - Phone:419-602-1614
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-02-03
Last Update Date:2023-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHSP4013235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist