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Contact Information

KRISTINA R PEGRAM, M.S.CCC-SLP
3540 VICTORY BLVD
YORKTOWN, VA23693
 Phone: 757-776-0736
 Fax: 757-776-0737
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Speech-Language Pathologist

235Z00000X 15 Speech Language Pathologist
 

Rehabilitation Practitioner

225400000X
Indicates primary specialty

NPI Profile & details for KRISTINA R PEGRAM · (Female)

NPI # 1215110275
Status Active
Credentials M.S.CCC-SLP
Entity Individual
Enumeration date 12/13/2007
Last updated 07/03/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • VA License # 2202004684
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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