National Provider Identifier
Kristen Mossien Eccleston, CCC-SLP
Kristen Mossien Eccleston, CCC-SLP is listed in the NPPES registry with a primary specialty of Speech-Language Pathologist in Rochester, NY and a listed phone number of (585) 262-8257.
Profile Overview
- NPI
- 1144522863
- Provider Type
- Individual
- Primary Specialty
- Speech-Language Pathologist
- Enumeration Date
- December 01, 2010
- Last Updated
- October 23, 2013
Practice Location
- 690 Saint Paul St
- Rochester, NY 14605-1709
Phone: (585) 262-8257
Mailing Address
- 15 Willowdale Dr
- Rochester, NY 14618-2311
Specialties
- Speech-Language Pathologist (235Z00000X)
Full Record
- NPI
- 1144522863
- Entity Type
- Individual
- Last Name
- Eccleston
- First Name
- Kristen
- Middle Name
- Mossien
- Credential
- CCC-SLP
- Provider Other Last Name
- Mossien
- Provider Other First Name
- Kristen
- Provider Other Middle Name
- Marie
- Provider Other Name Prefix Text
- Mrs.
- Provider Other Credential Text
- CCC-SLP
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- 15 Willowdale Dr
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14618-2311
- Mailing Country
- US
- Practice Street Address
- 690 Saint Paul St
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14605-1709
- Practice Country
- US
- Practice Phone
- (585) 262-8257
- Enumeration Date
- December 01, 2010
- Last Updated
- October 23, 2013
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Speech-Language Pathologist (235Z00000X)