Bourne, Krista

Bourne, Krista is an sole proprietor health care provider with primary practice located at 15 Lillian Street , Port Jefferson Station NY 11776. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Bourne, Krista can be contacted via phone (631) 474-8697.

Contact Information

Primary practice address
15 Lillian Street Port Jefferson Station NY 11776
Phone: (631) 474-8697
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 008092-1 New York

Profile Details

NPI number 1821130659
LBN Legal business name Bourne, Krista
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 12th, 2007
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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