Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Kristi K Bourisaw, MACCC-SLP/L

Individual provider Speech-Language Pathologist · NPI 1235314675

Mrs. Kristi K Bourisaw, MACCC-SLP/L is a Speech-Language Pathologist in Columbia, Illinois. Licensed in Illinois. Registered with an NPI since 2008.

Licensed in
IL
In the registry since
2008
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Practice location Address checks out

2627 Lakeshore Dr
Columbia, IL 62236-2657
Phone: (636) 565-4112
Fax: (636) 590-9969
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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 (IL)

Record details

NPI number1235314675
Entity typeIndividual (Type 1)
GenderFemale
Credentials MACCC-SLP/L
Sole proprietorNo
NPI enumeratedJanuary 3, 2008
Last updated in NPPESJanuary 3, 2008

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