Individual
KRISTEN ROGNALDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS-CCC-SLP
Contact information
Practice address
325 S UNIVERSITY RD STE 101, SPOKANE VALLEY, WA 99206-6164
(509) 921-9798
(509) 921-9774
Mailing address
325 S UNIVERSITY RD STE 101, SPOKANE VALLEY, WA 99206-6164
(509) 921-9798
(509) 921-9774
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
LL60882521
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LL60882521
OCCUPATIONAL THERAPIST STATE LICENSE
WA
Enumeration date
11/02/2018
Last updated
11/02/2018
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