MR. Ethan Kristek, M.S., CCC-SLP
NPI #1629420369 in Mount Vernon, Missouri
Provider Information
- NPI Number
- 1629420369
- Entity Type
- Individual
- Name
- MR. Ethan Kristek, M.S., CCC-SLP
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Speech-Language Pathologist
- Credential
- M.S., CCC-SLP
- Enumeration Date
- Jul 6, 2016
- Last Updated
- Jul 6, 2016
Practice Location
- Address
- 1600 S HICKORY ST
- City
- Mount Vernon
- State
- Missouri
- ZIP Code
- 65712-2045
- Phone
- (417) 466-7103
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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