Individual
MS. KRISTINE DAWN CHREST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
1445 BLUEWATER WAY, CHARLESTON, SC 29414-7923
(410) 688-4303
Mailing address
104 PADDLE BOAT WAY, SUMMERVILLE, SC 29485-9268
(410) 688-4303
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
11887
NC
235Z00000X
Speech-Language Pathologist
Primary
SLP.8729
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
419800000
—
MD
Enumeration date
03/02/2007
Last updated
01/09/2025
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