Most Relevant Information
Provider Data
| NPI Number: | 1003308826 |
| Provider Name: | KAITLYN LEE CROSS |
| Entity Type: | Individual |
| Taxonomy Code: | 235Z00000X |
| Specialty: | Speech-Language Pathologist |
| License Number: | PSLP.0000280 |
Most Important Dates
| Enumeration Date: | 06/06/2018 |
| Last Updated: | 06/06/2018 |
Provider Practice Location
11808 GRANT ST FL 100
OMAHA
NE
681643616
Practice Location Phone/Fax
| Phone: | 4053341375 |
| Fax: |
Provider Mailing Location
3023 S FOX LEDGE DR
STILLWATER
OK
740741708
Provider Mailing Phone/Fax
| Phone: | 4053341375 |
| Fax: |