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KRISTIN GREILICK BURRELL M.A., CCC-SLP
>> Speech-Language Pathologist >> Speech, Language and Hearing Service ProvidersRegistrant NPI Number: 1295862704
Individual Registrant: KRISTIN GREILICK BURRELL M.A., CCC-SLP
Gender: F
Sole Proprietor
Gender: F
Sole Proprietor
Location and contact information for practice:
100 TAMAL PLZ SUITE 102 CORTE MADERA, CA 94925-1125 US
Tel: 415-823-1258 Fax: --
Tel: 415-823-1258 Fax: --
Contact information for business:
100 TAMAL PLZ SUITE 102 CORTE MADERA, CA 94925-1125 US
Tel: 415-823-1258 Fax: --
Tel: 415-823-1258 Fax: --
Registration Information:
NPI: 1295862704
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 235Z00000X | Speech, Language and Hearing Service Providers Speech-Language Pathologist | CA | 18858 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
