Individual
MRS. KRISTINA DIANE FORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
930 20TH ST S, BIRMINGHAM, AL 35205-2610
(205) 934-5471
Mailing address
1530 3RD AVE S, CH19 307, BIRMINGHAM, AL 35294-2041
(205) 934-5471
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3090
AL
Other
Enumeration date
12/17/2010
Last updated
12/17/2010
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