KRISTINA MUSTACICH

VANCOUVER, WA
NPI1518364256
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: WA  LL 60490718)
Additional Taxonomies235Z00000X Speech-Language Pathologist,
(Licence: OR  15299)
Enumeration Date2014-11-24
Last Update Date2014-11-24
Business Address
-- KRISTINA MUSTACICH CCC-SLP
2500 NE 65TH AVE
VANCOUVER, WA 98661-6812
Phone number: 360-750-7500
Mailing Address
-- KRISTINA MUSTACICH CCC-SLP
6474 SPERRY RD
MOUNT HOOD PARKDALE, OR 97041-7640
Phone number: 503-780-9390