Individual provider · Type 1 NPI

Kristin A. Immicke, MS, CCC-SLP

Speech-Language Pathologist · West, TX

NPI number 1730698150 Active

Practice location

1414 Jane Ln
West, TX 76691-1012

Call (254) 224-7609 Map

Fax (254) 224-7609

Mailing address

PO Box 620
West, TX 76691-0620

Specialties and licenses

Taxonomy	Code	License
Speech-Language Pathologist Primary	235Z00000X	111679 (TX)

Speech-Language Pathologist: The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonan…

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About NPI 1730698150

Kristin A. Immicke, MS, CCC-SLP's National Provider Identifier is 1730698150, issued on Sep 28, 2017. The primary taxonomy on file is Speech-Language Pathologist (235Z00000X), and the practice location is in West, TX. The record was last updated on Sep 28, 2017.