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Active NPI 1205068681 Individual Practitioner Female Practitioner

Crystal Lee Kieckhoefer O'malley , MSE, CCC-SLP

Speech-Language Pathologist • Andover, MN

Professional Overview & Biography Verified Profile Summary

Crystal O'Malley, MSE, CCC-SLP is a registered healthcare professional specializing in Speech-Language Pathologist in Andover, MN. Practice services are available at 1891 STATION PKWY NW under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1891 Station Pkwy Nw

Andover, MN 553044259

Telephone 7637554275
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Andover, MN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 2.8 Yrs
State Avg: 11.7 Yrs
Regional Practice Density
72 Specialists

Practicing in Andover, MN (3097 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License MN 8889

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.

Speech-Language Pathologist

NUCC Taxonomy Code: 235Z00000X

State License WI 3282-154

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Megan Dierking

Speech-Language Pathologist

NPI 1003591652
Melissa Lonsky , CCC-SLP, OM

Speech-Language Pathologist

NPI 1013063213

Speech-Language Pathologist (Certificate of Clinical Competence), OM

Nicole Birr

Occupational Therapy Assistant

NPI 1013739234
Samantha Young

Occupational Therapist - Pediatrics

NPI 1013787001
Courtney Wagner

Speech-Language Pathologist

NPI 1023680451
Meridith Grob

Speech-Language Pathologist

NPI 1023791985

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
NPI Profile Active January 12, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location January 12, 2017

Registered at 1891 STATION PKWY NW, ANDOVER, MN 553044259 (Tel: 7637554275)

📍
Updated Business Mailing Address January 12, 2017

Registered at 1891 STATION PKWY NW, ANDOVER, MN 553044259 (Tel: 7637554275)

👤
Provider Name / Credentials Updated January 12, 2017

Recorded as CRYSTAL O'MALLEY, M.S.E., CCC-SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 12, 2017

Speech-Language Pathologist (License #3282-154 in WI)

NPI Profile Active March 20, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location March 20, 2012

Registered at 1891 STATION PKWY NW, ANDOVER, MN 553044259 (Tel: 7637554275)

📍
Updated Business Mailing Address March 20, 2012

Registered at 1891 STATION PKWY NW, ANDOVER, MN 553044259 (Tel: 7637554275)

👤
Provider Name / Credentials Updated March 20, 2012

Recorded as CRYSTAL KIECKHOEFER, M.S.E., CCC-SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 20, 2012

Speech-Language Pathologist (License #8889 in MN)

🟢
Initial NPI Registration & Enumeration August 18, 2009

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1205068681
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 18, 2009
Last Update: January 12, 2017
Sole Proprietor: Yes

Mailing Address

1891 Station Pkwy Nw

Andover, MN 553044259

Phone: 7637554275

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.