Active NPIIndividual provider

Kristina Detweiler

Speech-Language Pathologist, in East Haven, Connecticut

NPI Number1770135436
Practice location
140 Mill St Apt 18134, East Haven, CT 06512-1087
Fax
—
Last updated
February 9, 2024

Kristina Detweiler is a Speech-Language Pathologist, based in East Haven, CT. Kristina Detweiler practices in East Haven, CT. The NPI Number for Kristina Detweiler is 1770135436 and holds a License No. 12595 (NC). The current practice location address for Kristina Detweiler is 140 Mill St Apt 18134, East Haven, CT 06512-1087 and can be reached out via phone at 037-571-3202.

Provider Profile Details

NPI Number
1770135436
Provider Name
Kristina Detweiler
Provider Entity Type
Individual
Gender
Female
Address
140 Mill St Apt 18134, East Haven, CT 06512-1087
Phone Number
037-571-3202
Primary Taxonomy
Speech-Language Pathologist, · 235Z00000X
Sole Proprietor
No
Provider Enumeration Date
July 12, 2019
Last Update Date
February 9, 2024
Certification Date
February 9, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
140 Mill St Apt 18134
East Haven, CT 06512-1087
Zip
06512-1087
Phone Number
037-571-3202
East Haven, CT 06512Get directions →

Provider Business Mailing Address Details

Address
134 Infield CT
Mooresville, NC 28117-8026
City
Mooresville
State
NC
Zip
28117-8026
Phone Number
704-799-6824
Fax Number
704-799-6825

License Information

License Number (1)
12595
License State (1)
NC
Taxonomy (1)
Speech-Language Pathologist, · 235Z00000X
License Number (2)
7238
License State (2)
CT
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 Kristina Detweiler?

The NPI number of Kristina Detweiler is 1770135436. It was assigned on July 12, 2019 and is currently active in the NPPES registry.

What is the specialty of Kristina Detweiler?

Kristina Detweiler is registered under the primary taxonomy Speech-Language Pathologist, (code 235Z00000X), licensed in NC under license number 12595.

Where does Kristina Detweiler practice?

The practice location is 140 Mill St Apt 18134, East Haven, CT 06512-1087. The office can be reached at 037-571-3202 (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 1770135436 directly on the NPPES registry website.

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