Active NPIIndividual provider

Ms. Kristine Ann Q Juan

Speech-Language Pathologist, in Freehold, New Jersey

NPI Number1588128342
Practice location
1151 W Main St, Freehold, NJ 07728-7943
Fax
—
Last updated
July 9, 2021

Kristine Ann Queng Juan is a Speech-Language Pathologist, based in Freehold, NJ. Kristine Ann Queng Juan practices in Freehold, NJ. The NPI Number for Kristine Ann Queng Juan is 1588128342 and holds a License No. O1-0001714 (DE). The current practice location address for Kristine Ann Queng Juan is 1151 W Main St, Freehold, NJ 07728-7943 and can be reached out via phone at 732-202-1000.

Provider Profile Details

NPI Number
1588128342
Provider Name
Kristine Ann Queng Juan
Provider Entity Type
Individual
Gender
Female
Address
1151 W Main St, Freehold, NJ 07728-7943
Phone Number
732-202-1000
Primary Taxonomy
Speech-Language Pathologist, · 235Z00000X
Sole Proprietor
No
Provider Enumeration Date
January 25, 2019
Last Update Date
July 9, 2021
Certification Date
July 9, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
1151 W Main St
Freehold, NJ 07728-7943
Zip
07728-7943
Phone Number
732-202-1000
Freehold, NJ 07728Get directions →

Provider Business Mailing Address Details

Address
1151 W Main St
Freehold, NJ 07728-7943
City
Freehold
State
NJ
Zip
07728-7943
Phone Number
732-202-1000

License Information

License Number (1)
O1-0001714
License State (1)
DE
Taxonomy (1)
Speech-Language Pathologist, · 235Z00000X
License Number (2)
41YS00986600
License State (2)
NJ
Taxonomy (2)
Speech-Language Pathologist, · 235Z00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Ms. Kristine Ann Q Juan?

The NPI number of Ms. Kristine Ann Q Juan is 1588128342. It was assigned on January 25, 2019 and is currently active in the NPPES registry.

What is the specialty of Ms. Kristine Ann Q Juan?

Ms. Kristine Ann Q Juan is registered under the primary taxonomy Speech-Language Pathologist, (code 235Z00000X), licensed in DE under license number O1-0001714.

Where does Ms. Kristine Ann Q Juan practice?

The practice location is 1151 W Main St, Freehold, NJ 07728-7943. The office can be reached at 732-202-1000 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1588128342 directly on the NPPES registry website.

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