Individual
IRINA KRIVORUCHKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., SLP-CFY
Contact information
Practice address
2119 E NATIONAL HWY, WASHINGTON, IN 47501-4507
(812) 254-3301
(812) 257-0039
Mailing address
7840 GOLDEN RING WAY, ANTELOPE, CA 95843-6123
(916) 247-7818
(916) 728-2695
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
C-4891
NM
Other
Enumeration date
08/01/2011
Last updated
08/01/2011
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