Kristin A Immicke, MS, CCC-SLP

NPI #1730698150 in West, Texas

Provider Information

NPI Number
1730698150
Entity Type
Individual
Name
Kristin A Immicke, MS, CCC-SLP
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Speech-Language Pathologist
Credential
MS, CCC-SLP
Enumeration Date
Sep 28, 2017
Last Updated
Sep 28, 2017

Practice Location

Address
1414 JANE LN
City
West
State
Texas
ZIP Code
76691-1012
Phone
(254) 224-7609

Specialties & Taxonomy Codes

Specialty
Speech-Language Pathologist

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