Provider Demographics
NPI:1174805972
Name:CURRAN, KRISTINE MOORE (AUD)
Entity type:Individual
Prefix:
First Name:KRISTINE
Middle Name:MOORE
Last Name:CURRAN
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:KRISTINE
Other - Middle Name:ELLEN
Other - Last Name:MOORE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:AUD
Mailing Address - Street 1:1 NOD BROOK LN
Mailing Address - Street 2:
Mailing Address - City:SIMSBURY
Mailing Address - State:CT
Mailing Address - Zip Code:06070-3017
Mailing Address - Country:US
Mailing Address - Phone:404-272-7030
Mailing Address - Fax:
Practice Address - Street 1:139 N MAIN ST
Practice Address - Street 2:
Practice Address - City:WEST HARTFORD
Practice Address - State:CT
Practice Address - Zip Code:06107-1269
Practice Address - Country:US
Practice Address - Phone:860-570-2331
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-09-16
Last Update Date:2022-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO637231H00000X
CT697231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist