Individual
KRISTINE SIU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1901 TATE SPRINGS RD, LYNCHBURG, VA 24501-1109
(434) 200-3000
Mailing address
6623 W THRIVEAWAY CV, BARTLETT, TN 38135-1270
(901) 786-4127
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202008613
VA
235Z00000X
Speech-Language Pathologist
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Other
Enumeration date
04/20/2017
Last updated
05/13/2025
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