O'Malley, Crystal Lee Kieckhoefer

O'Malley, Crystal Lee Kieckhoefer is an sole proprietor health care provider with primary practice located at 1891 Station Pkwy Nw , Andover MN 55304-4259. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. O'Malley, Crystal Lee Kieckhoefer can be contacted via phone (763) 755-4275.

Contact Information

Primary practice address
1891 Station Pkwy Nw Andover MN 55304-4259
Phone: (763) 755-4275
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 8889 Minnesota
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 3282-154 Wisconsin

Profile Details

NPI number 1205068681
LBN Legal business name O'Malley, Crystal Lee Kieckhoefer
Credentials M.S.E., CCC-SLP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 18th, 2009
Last updated Jan 12th, 2017 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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