Individual
MS. CANDANCE LYNN CRABILL KLYNSTRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
20840 SE SUNNIBERG LN, BEND, OR 97702-3759
(630) 220-4867
Mailing address
20840 SE SUNNIBERG LN, BEND, OR 97702-3759
(630) 220-4867
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
015957
OR
235Z00000X
Speech-Language Pathologist
146006868
IL
235Z00000X
Speech-Language Pathologist
25397
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
146006868
STATE LICENSE
IL
01
—
15957
LICENSE
OR
01
—
25397
SPEECH PATHOLOGIST
CA
01
—
LL 60609843
SLP LICENSE
WA
Enumeration date
04/10/2007
Last updated
03/16/2020
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