Individual
KRISTINA LEGATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2820 PARKVIEW DR, LONGVIEW, WA 98632-5502
(360) 575-7471
Mailing address
2820 PARKVIEW DR, LONGVIEW, WA 98632-5502
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
235Z00000X
Speech-Language Pathologist
Primary
SLP.LL.61450500
WA
Other
Enumeration date
08/14/2019
Last updated
06/01/2026
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