Individual
SYDNI KISALA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1997 S MAIN ST STE 601, BLACKSBURG, VA 24060-6606
(540) 961-1230
Mailing address
1639 YORK DR, CHRISTIANSBURG, VA 24073-1232
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2204001318
VA
235Z00000X
Speech-Language Pathologist
242007633
IL
Other
Enumeration date
01/08/2024
Last updated
09/24/2024
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