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

KRISTIN A IMMICKE, MS, CCC-SLP

Active Sole Proprietor

Speech, Language and Hearing Specialist · WEST, TX

Registration Details

NPI Number
1730698150
Provider Type
Individual
Gender
Female
NPI Issued
Sep 28, 2017 (8.581702585958 yrs)
Last Updated
Sep 28, 2017
License
111679 (TX)
Sole Proprietor
Yes

Practice Information

Address
1414 JANE LN
WEST, TX, 766911012
Browse TX providers · Browse ZIP 76691
Phone
2542247609
Fax
2542247609
Primary Specialty
Speech, Language and Hearing Specialist
235Z00000X

Other Speech, Language and Hearing Specialist Providers in WEST, TX

Name Credential NPI
SUSAN TERESA SWANER 1033390034
MRS. KRISTI CHUDEJ 1841770518
MADDISON CAMILLE KETTLER 1386395937
EMILY WENZEL 1891443123
HAYLEE BOYD 1174352017
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.