Individual
ALICIA KETTLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
3610 ROLLING FOREST DR, SPRING, TX 77388-5065
(337) 370-3294
Mailing address
3610 ROLLING FOREST DR, SPRING, TX 77388-5065
(337) 370-3294
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
109087
TX
235Z00000X
Speech-Language Pathologist
109807
TX
Other
Enumeration date
06/12/2014
Last updated
04/02/2018
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