Individual
KRISTEN ANNE KERTESZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
2505 E JEFFERSON BLVD, SOUTH BEND, IN 46615-2635
(574) 289-4831
Mailing address
1516 HOOVER AVE, SOUTH BEND, IN 46615-1311
(765) 760-2347
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
22006038A
IN
Other
Enumeration date
07/15/2008
Last updated
01/20/2015
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