Individual
ELIZABETH KRISTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
111 MARKET ST, JOHNSTOWN, PA 15901-1608
(814) 539-1919
(814) 539-1308
Mailing address
310 WATER ST, INDIANA, PA 15701-2058
(814) 463-8899
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SL006145L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0018899810002
—
PA
Enumeration date
03/15/2007
Last updated
04/22/2008
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