Individual
KRISTEN NICOLE PIZZOFERRATO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS CCC-SLP
Contact information
Practice address
3940 PRINCE WILLIAM PKWY, WOODBRIDGE, VA 22192-4513
(703) 670-9568
Mailing address
644 S NEWKIRK ST, BALTIMORE, MD 21224-4414
(740) 317-9815
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
09090
MD
235Z00000X
Speech-Language Pathologist
2202006862
VA
235Z00000X
Speech-Language Pathologist
SL011014
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09090
STATE LICENSE
MD
Enumeration date
09/12/2012
Last updated
11/01/2021
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