Individual
MS. ELIZABETH ROSE KYSAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA CCC-SLP
Contact information
Practice address
30 LANDING CIR STE 103, CHICO, CA 95973-7895
(530) 892-9127
(530) 809-4881
Mailing address
5712 BONNIE LANE, PARADISE, CA 95969
(530) 570-7524
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP15620
CA
Other
Enumeration date
09/15/2017
Last updated
09/15/2017
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