MS. Kristina Renee Pegram, MSCCC-SLP
MS. Kristina Renee Pegram, MSCCC-SLP is a Qualified Speech Language Pathologist in Yorktown, Virginia. Qualified in 2004, 22 years ago. Practices with Functional Pathways Preferred of Tennessee LLC, a 192-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Virginia.
- Years since qualifying
- 22
- Licensed in
- VA
- In the registry since
- 2007
- Specialties on file
- 2
Practice location Address checks out
3540 Victory BlvdYorktown, VA 23693
Phone: (757) 776-0736
Fax: (757) 776-0737
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 1485 International Pkwy, Heathrow, FL 32746-5303 — (800) 798-6035
Specialties & licences
| Speech-Language Pathologist (primary) | Taxonomy 235Z00000X · Licence 2202004684 (VA) |
|---|---|
| Rehabilitation Practitioner | Taxonomy 225400000X · Licence 2202004684 (VA) |
Record details
| NPI number | 1215110275 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | MSCCC-SLP |
| Sole proprietor | No |
| NPI enumerated | December 13, 2007 |
| Last updated in NPPES | July 3, 2024 |
| Certification date | July 3, 2024 |
Medicare enrollment
| Medicare specialty | QUALIFIED SPEECH LANGUAGE PATHOLOGIST |
|---|---|
| Medical school | OTHER |
| Graduated | 2004 (22 years in practice) |
| Group practice | Functional Pathways Preferred Of Tennessee Llc — 192 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 2 on file with Medicare |