Provider Demographics
NPI:1750758199
Name:HUEBNER, KRISTIN (MS CCC-SLP)
Entity type:Individual
Prefix:
First Name:KRISTIN
Middle Name:
Last Name:HUEBNER
Suffix:
Gender:F
Credentials:MS CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2906 NIKOLAI AVE
Mailing Address - Street 2:
Mailing Address - City:NORTH POLE
Mailing Address - State:AK
Mailing Address - Zip Code:99705-7345
Mailing Address - Country:US
Mailing Address - Phone:845-652-0591
Mailing Address - Fax:
Practice Address - Street 1:2906 NIKOLAI AVE
Practice Address - Street 2:
Practice Address - City:NORTH POLE
Practice Address - State:AK
Practice Address - Zip Code:99705-7345
Practice Address - Country:US
Practice Address - Phone:845-652-0591
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-09-01
Last Update Date:2021-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist