Crabill Klynstra, Candance Lynn
Crabill Klynstra, Candance Lynn is an individual health care provider with primary practice located at 20840 Se Sunniberg Ln , Bend OR 97702-3759. 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. Crabill Klynstra, Candance Lynn can be contacted via phone (630) 220-4867.Contact Information
Primary practice address
20840 Se Sunniberg Ln
Bend OR 97702-3759
Phone: (630) 220-4867
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | 146006868 | Illinois |
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | 25397 | California |
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | 015957 | Oregon |
Profile Details
| NPI number | 1003939208 |
|---|---|
| LBN Legal business name | Crabill Klynstra, Candance Lynn |
| Credentials | CCC-SLP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 10th, 2007 |
| Last updated | Mar 16th, 2020 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1003939208 | NPPES |
| Washington | Other | LL 60609843 | SLP LICENSE |
| Washington | Other | 25397 | SLP LICENSE |
| Washington | Other | 146006868 | SLP LICENSE |
| Washington | Other | 15957 | SLP LICENSE |
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