Provider Demographics
NPI:1255876892
Name:NEFF, KRISTIN CAMERON
Entity type:Individual
Prefix:
First Name:KRISTIN
Middle Name:CAMERON
Last Name:NEFF
Suffix:
Gender:F
Credentials:
Other - Prefix:MRS
Other - First Name:KRISTIN
Other - Middle Name:CAMERON
Other - Last Name:STUCK
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:1836 WACKER DR
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:OH
Mailing Address - Zip Code:43130-1562
Mailing Address - Country:US
Mailing Address - Phone:740-438-3812
Mailing Address - Fax:
Practice Address - Street 1:1120 N MEMORIAL DR
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:OH
Practice Address - Zip Code:43130-1748
Practice Address - Country:US
Practice Address - Phone:740-531-1467
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-01-05
Last Update Date:2024-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH2017143235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist