Organization
KEYSTONE SPEECH THERAPY LLC
Active
Other names
Keystone Speech Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KRISTINE IGNACIO CARAIG SISSONS MS, CCC-SLP (SPEECH-LANGUAGE PATHOLOGIST)
(909) 557-3782
Entity
Organization
Contact information
Practice address
18520 NE 109TH AVE, BATTLE GROUND, WA 98604-9462
(909) 557-3782
Mailing address
18520 NE 109TH AVE, BATTLE GROUND, WA 98604-9462
(909) 557-3782
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
12/20/2021
Last updated
12/20/2021
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