Individual
KRISTEN LANKFORD DIETRICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
3579 FRANKLIN TOWER DR, MOUNT PLEASANT, SC 29466-9383
(843) 810-9198
(855) 279-3149
Mailing address
3579 FRANKLIN TOWER DR, MOUNT PLEASANT, SC 29466-9383
(843) 810-9198
(855) 279-3149
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4516
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
30099867
MEDICAID - SELECT HEALTH
SC
05
—
GP5764
—
SC
05
—
SA1113
—
SC
Enumeration date
07/31/2009
Last updated
03/29/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us