Provider Demographics
NPI:1700493145
Name:GREENHALGH, KRISTIN
Entity type:Individual
Prefix:MRS
First Name:KRISTIN
Middle Name:
Last Name:GREENHALGH
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 1:10 NOTTINGHAM BLVD
Mailing Address - Street 2:
Mailing Address - City:UNIONVILLE
Mailing Address - State:CT
Mailing Address - Zip Code:06085-1185
Mailing Address - Country:US
Mailing Address - Phone:770-315-6812
Mailing Address - Fax:
Practice Address - Street 1:312 PARK RD STE 201
Practice Address - Street 2:
Practice Address - City:WEST HARTFORD
Practice Address - State:CT
Practice Address - Zip Code:06119-2017
Practice Address - Country:US
Practice Address - Phone:860-523-9790
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-09-29
Last Update Date:2020-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist