Provider Demographics
NPI:1881929974
Name:LINDGREN, KRISTEN ERICA (MA CCC-SLP)
Entity type:Individual
Prefix:
First Name:KRISTEN
Middle Name:ERICA
Last Name:LINDGREN
Suffix:
Gender:F
Credentials:MA CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:304 ADAMS ST
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80206-4421
Mailing Address - Country:US
Mailing Address - Phone:619-518-0489
Mailing Address - Fax:619-518-0489
Practice Address - Street 1:304 ADAMS ST
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80206-4421
Practice Address - Country:US
Practice Address - Phone:619-518-0489
Practice Address - Fax:619-518-0489
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-07
Last Update Date:2010-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA12051475235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist