Individual
MRS. KRISTAN ELIZABETH CULBERTSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
1881 W SHELLIE DR, FLAGSTAFF, AZ 86001-2508
(928) 550-0056
Mailing address
1881 W SHELLIE DR, FLAGSTAFF, AZ 86001-2508
(928) 550-0056
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP1488
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
594748
ACCHS
AZ
01
—
SLP1488
DEPT. HEALTH SERVICES LIC
AZ
Enumeration date
12/11/2006
Last updated
01/02/2009
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