Individual
KRISTINA PICKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
1665 COAL CREEK DR, LAFAYETTE, CO 80026-2784
(303) 926-6434
Mailing address
1665 COAL CREEK DR, LAFAYETTE, CO 80026-2784
(303) 926-6434
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP.0002863
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12157125
ASHA
UT
Enumeration date
11/06/2017
Last updated
11/06/2017
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