Individual
KRISTINA DETWEILER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
140 MILL ST APT 18134, EAST HAVEN, CT 06512-1087
(037) 571-3202
Mailing address
134 INFIELD CT, MOORESVILLE, NC 28117-8026
(704) 799-6824
(704) 799-6825
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
12595
NC
235Z00000X
Speech-Language Pathologist
Primary
7238
CT
Other
Enumeration date
07/12/2019
Last updated
02/09/2024
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