Kristine Potter, SLP
NPI #1003019746 in Fairview Heights, Illinois
Provider Information
- NPI Number
- 1003019746
- Entity Type
- Individual
- Name
- Kristine Potter, SLP
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Speech-Language Pathologist
- Credential
- SLP
- Enumeration Date
- Jun 8, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 141 MARKET PL
- Address 2
- SUITE 203
- City
- Fairview Heights
- State
- Illinois
- ZIP Code
- 62208-2034
- Phone
- (618) 398-4118
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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