Provider Type Icon

KRISTIN A IMMICKE MS CCC-SLP NPI 1730698150


NPI Information

NPI: 1730698150
Provider Name: KRISTIN A IMMICKE, MS, CCC-SLP
Classification: Speech-Language Pathologist - 235Z00000X
Entity Type: Individual
Address:
1414 JANE LN
WEST, TX
ZIP 76691
Phone: (254) 224-7609
Get Directions

Kristin A Immicke, MS, CCC-SLP is a speech language pathologist in West, TX. The provider is the speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing. Kristin A Immicke, MS, CCC-SLP NPI is 1730698150. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1414 JANE LN
WEST, TX
ZIP 76691-012
Phone: (254) 224-7609
Fax: (254) 224-7609

The enumeration date for this NPI number is 9/28/2017 and was last updated on 9/28/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1235Z00000XSpeech-Language Pathologist111679TEXASYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.