Individual
MRS. KRISTEN STUTZMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
286 S MAIN ST, CRESTON, OH 44217
(330) 435-6383
Mailing address
286 S MAIN ST, CRESTON, OH 44217-9668
(330) 435-6383
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP. 9979
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1184047680
—
OH
Enumeration date
02/04/2014
Last updated
08/15/2018
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