Search › Illinois › 235Z00000X
Kristi Bourisaw, MA CCC-SLP/L
NPI 1235314675 · on the registry since 2008
Practice
- Address
- 2627 Lakeshore Dr
Columbia, IL 62236 - Phone
- (636) 565-4112
- Fax
- (636) 590-9969
- Organisation at this address
- Tiny Voices Therapy Pc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 235Z00000X
235Z00000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2008-01-03
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois