Individual
KRISTIN NICOLE OUELLETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
23160 MOAKLEY ST STE 105, LEONARDTOWN, MD 20650-2933
(301) 475-5511
Mailing address
5369 SUSQUEHANNA DR, VIRGINIA BEACH, VA 23462-5953
(757) 297-5737
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
10297
MD
235Z00000X
Speech-Language Pathologist
2202007244
VA
Other
Enumeration date
12/12/2013
Last updated
08/31/2022
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