Waghorn, Kristen
Waghorn, Kristen is an individual health care provider with primary practice located at 2315 Central Ave Ste C , Augusta GA 30904-6246. 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. Waghorn, Kristen can be contacted via phone (706) 364-6712.Contact Information
Primary practice address
2315 Central Ave Ste C
Augusta GA 30904-6246
Phone: (706) 364-6712
Fax: (706) 364-6172
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | SLP006250 | Georgia |
Profile Details
| NPI number | 1801087911 |
|---|---|
| LBN Legal business name | Waghorn, Kristen |
| Credentials | MS, CCC-SLP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 5th, 2007 |
| Last updated | Aug 5th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1801087911 | NPPES |
| Georgia | MEDICAID | 673942428C |
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