Provider Demographics
NPI:1578383840
Name:WINKEL, KRISTEN RACHELLE TANYA (MSC)
Entity type:Individual
Prefix:
First Name:KRISTEN
Middle Name:RACHELLE TANYA
Last Name:WINKEL
Suffix:
Gender:F
Credentials:MSC
Other - Prefix:
Other - First Name:KRISTEN
Other - Middle Name:RACHELLE TANYA
Other - Last Name:KRAMER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSC
Mailing Address - Street 1:7510 TIETON DR
Mailing Address - Street 2:
Mailing Address - City:YAKIMA
Mailing Address - State:WA
Mailing Address - Zip Code:98908-4128
Mailing Address - Country:US
Mailing Address - Phone:604-519-3137
Mailing Address - Fax:
Practice Address - Street 1:3801 KERN WAY
Practice Address - Street 2:
Practice Address - City:YAKIMA
Practice Address - State:WA
Practice Address - Zip Code:98902-6340
Practice Address - Country:US
Practice Address - Phone:509-494-3142
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-10-11
Last Update Date:2024-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALL61570740235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist