Individual
KRISTA SEVERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
305 COLLEGE ST NE, LACEY, WA 98516-5390
(360) 412-4465
Mailing address
2308 WOODFIELD LOOP SE, OLYMPIA, WA 98501-3243
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP.LL.61195483
WA
Other
Enumeration date
10/16/2025
Last updated
10/16/2025
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