Provider Demographics
NPI:1801314174
Name:RIKE, KRISTINA ORIANS
Entity type:Individual
Prefix:
First Name:KRISTINA
Middle Name:ORIANS
Last Name:RIKE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:KRISTINA
Other - Middle Name:
Other - Last Name:ORIANS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:146 W VALLEYWOOD DR
Mailing Address - Street 2:
Mailing Address - City:COLLIERVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:38017-1543
Mailing Address - Country:US
Mailing Address - Phone:901-734-7195
Mailing Address - Fax:
Practice Address - Street 1:146 W VALLEYWOOD DR
Practice Address - Street 2:
Practice Address - City:COLLIERVILLE
Practice Address - State:TN
Practice Address - Zip Code:38017-1543
Practice Address - Country:US
Practice Address - Phone:901-734-7195
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-09-06
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN5507235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist