Individual
KRISTA WALTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED., M.A., CCC-SLP
Contact information
Practice address
3707 62ND ST, HOLLAND, MI 49423-9796
(616) 566-2568
Mailing address
3707 62ND ST, HOLLAND, MI 49423-9796
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7101004136
MI
Other
Enumeration date
04/22/2015
Last updated
04/22/2015
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