Individual
KANDYCE LYN KOCH-INGERSOLL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BAEDSLP MA ECC
Contact information
Practice address
104 N 4TH AVE, YAKIMA, WA 98902-2636
(509) 573-5060
Mailing address
2808 SHELTON AVE, YAKIMA, WA 98902-4071
(509) 945-6382
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
LL00001745
WA
Other
Enumeration date
11/16/2012
Last updated
11/16/2012
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