Most Relevant Information
Provider Data
| NPI Number: | 1003415639 |
| Provider Name: | KRISTI DAYBACK CCC-SLP |
| Entity Type: | Individual |
| Taxonomy Code: | 235Z00000X |
| Specialty: | Speech-Language Pathologist |
| License Number: | 41YS00920600 |
Most Important Dates
| Enumeration Date: | 10/24/2020 |
| Last Updated: | 10/24/2020 |
Provider Practice Location
52 CHARLES DR
TINTON FALLS
NJ
077537903
Practice Location Phone/Fax
| Phone: | 9084892468 |
| Fax: |
Provider Mailing Location
52 CHARLES DR
TINTON FALLS
NJ
077537903
Provider Mailing Phone/Fax
| Phone: | 9084892468 |
| Fax: |