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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. ETHAN KRISTEK, M.S., CCC-SLP

Active Sole Proprietor

MR. ETHAN KRISTEK, M.S., CCC-SLP is a Speech, Language and Hearing Specialist healthcare provider located in MOUNT VERNON, Missouri. NPI 1629420369 is currently active in the NPPES registry. Verify at CMS.

Speech, Language and Hearing Specialist · MOUNT VERNON, MO

Registration Details

NPI Number
1629420369
Provider Type
Individual
Gender
Male
NPI Issued
Jul 6, 2016 (9.9266150198536 yrs)
Last Updated
Jul 6, 2016
License
2016020591 (MO)
Sole Proprietor
Yes

Practice Information

Address
1600 S HICKORY ST
MOUNT VERNON, MO, 657122045
Browse MO providers · Browse ZIP 65712
Phone
4174667103
Primary Specialty
Speech, Language and Hearing Specialist
235Z00000X

Other Speech, Language and Hearing Specialist Providers in MOUNT VERNON, MO

Name Credential NPI
MRS. MARY ELISABETH ASLIN M.A., CCC-SLP 1144279829
LINDA COLLIER CF-SLP 1033472956
MRS. EMILY RENEE HUEY 1841623881
BILLIE KNIPFER SLP-CF 1639570740
ALI LONG 1629683511
KA CHEUK M.S., CCC-SLP 1124693742
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.