Most Relevant Information
Provider Data
| NPI Number: | 1003442500 |
| Provider Name: | KRISTYNE BAZINET M.S., CCC-SLP |
| Entity Type: | Individual |
| Taxonomy Code: | 235Z00000X |
| Specialty: | Speech-Language Pathologist |
| License Number: | 10225 |
Most Important Dates
| Enumeration Date: | 03/16/2020 |
| Last Updated: | 03/16/2020 |
Provider Practice Location
2600 FERNBROOK LN N STE 138
PLYMOUTH
MN
554474752
Practice Location Phone/Fax
| Phone: | 9525440349 |
| Fax: |
Provider Mailing Location
2716 91ST CRES N
BROOKLYN PARK
MN
554433846
Provider Mailing Phone/Fax
| Phone: | 7637446360 |
| Fax: |