Krista Bourne
Krista Bourne is a Speech-Language Pathologist in Port Jefferson Station, New York. Practices as a sole proprietor. Licensed in New York.
- Licensed in
- NY
- In the registry since
- 2007
Practice location Address checks out
15 Lillian StPort Jefferson Station, NY 11776
Phone: (631) 474-8697
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Speech-Language Pathologist (primary) | Taxonomy 235Z00000X · Licence 008092-1 (NY) |
|---|
Record details
| NPI number | 1821130659 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | February 12, 2007 |
| Last updated in NPPES | July 8, 2007 |
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