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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MRS. CRYSTAL LEE KIECKHOEFER O'MALLEY, M.S.E., CCC-SLP

Active Sole Proprietor

MRS. CRYSTAL LEE KIECKHOEFER O'MALLEY, M.S.E., CCC-SLP is a Speech, Language and Hearing Specialist healthcare provider located in ANDOVER, Minnesota. NPI 1205068681 is currently active in the NPPES registry. Verify at CMS.

Speech, Language and Hearing Specialist · ANDOVER, MN

Registration Details

NPI Number
1205068681
Provider Type
Individual
Gender
Female
NPI Issued
Aug 18, 2009 (17.016234607617 yrs)
Last Updated
Jan 12, 2017
Licenses
8889 (MN)
3282-154 (WI)
Sole Proprietor
Yes

Practice Information

Address
1891 STATION PKWY NW
ANDOVER, MN, 553044259
Browse MN providers · Browse ZIP 55304
Phone
7637554275
Primary Specialty
Speech, Language and Hearing Specialist
235Z00000X

Other Speech, Language and Hearing Specialist Providers in ANDOVER, MN

Name Credential NPI
NANCY MATHIS MS/CCC-SLP 1154388510
RICHARD A KAMMUELLER SLP 1194807735
LYNDA LEE PETERSON MA-CCC/SLP 1376629360
MRS. MELISSA SUE LONSKY CCC-SLP, OM 1013063213
CARRIE LATVALA JERYLO M.S., CCC-SLP 1770629297
JULIE ANN ROWLAND MA, CCC-SLP 1386771251
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.