Individual
MADDILYN KIRSTATTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
551 KOKOPELLI BLVD UNIT K, FRUITA, CO 81521-6305
(970) 858-2572
Mailing address
664 KORIMA LN, GRAND JUNCTION, CO 81505-6000
(970) 986-9644
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP.0003624
CO
Other
Enumeration date
01/28/2020
Last updated
01/28/2020
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