Active NPIIndividual provider

Kristen Victorino, PHD

Speech-Language Pathologist, in Mountainside, New Jersey

NPI Number1649434960
Practice location
1112 Springfield Ave, Mountainside, NJ 07092-2906
Fax
—
Last updated
August 21, 2012

Kristen Victorino is a Speech-Language Pathologist, based in Mountainside, NJ. Kristen Victorino practices in Mountainside, NJ and has the professional credentials of PHD. The NPI Number for Kristen Victorino is 1649434960 and holds a License No. 41YS00569300 (NJ). The current practice location address for Kristen Victorino is 1112 Springfield Ave, Mountainside, NJ 07092-2906 and can be reached out via phone at 646-734-6381.

Provider Profile Details

NPI Number
1649434960
Provider Name
Kristen Victorino
Credential
PHD
Provider Entity Type
Individual
Gender
Female
Address
1112 Springfield Ave, Mountainside, NJ 07092-2906
Phone Number
646-734-6381
Primary Taxonomy
Speech-Language Pathologist, · 235Z00000X
Sole Proprietor
No
Other Names
-- Kristen Russo, MS (Former Name)
Provider Enumeration Date
July 16, 2008
Last Update Date
August 21, 2012
NPI Status
Active

Provider Business Practice Location Address Details

Address
1112 Springfield Ave
Mountainside, NJ 07092-2906
Zip
07092-2906
Phone Number
646-734-6381
Mountainside, NJ 07092Get directions →

Provider Business Mailing Address Details

Address
1112 Springfield Ave
Mountainside, NJ 07092-2906
City
Mountainside
State
NJ
Zip
07092-2906
Phone Number
646-734-6381

License Information

License Number (1)
41YS00569300
License State (1)
NJ
Taxonomy (1)
Speech-Language Pathologist, · 235Z00000X · Primary
License Number (2)
011911-1
License State (2)
NY
Taxonomy (2)
Speech-Language Pathologist, · 235Z00000X

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 Kristen Victorino, PHD?

The NPI number of Kristen Victorino, PHD is 1649434960. It was assigned on July 16, 2008 and is currently active in the NPPES registry.

What is the specialty of Kristen Victorino, PHD?

Kristen Victorino, PHD is registered under the primary taxonomy Speech-Language Pathologist, (code 235Z00000X), licensed in NJ under license number 41YS00569300.

Where does Kristen Victorino, PHD practice?

The practice location is 1112 Springfield Ave, Mountainside, NJ 07092-2906. The office can be reached at 646-734-6381 (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 1649434960 directly on the NPPES registry website.

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