Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Crystal Lee Kieckhoefer O'Malley, MSE, CCC-SLP

Individual provider Speech-Language Pathologist · NPI 1205068681

Mrs. Crystal Lee Kieckhoefer O'Malley, MSE, CCC-SLP is a Speech-Language Pathologist in Andover, Minnesota. Practices as a sole proprietor. Licensed in Minnesota and Wisconsin.

Licensed in
MN, WI
In the registry since
2009
Specialties on file
2
What do these letters mean?
CCC-SLP — Certificate of Clinical Competence in Speech-Language Pathology
A speech-language pathologist certified by ASHA.

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Practice location Address checks out

1891 Station Pkwy NW
Andover, MN 55304-4259
Phone: (763) 755-4275
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 8889 (MN)
Speech-Language Pathologist Taxonomy 235Z00000X · Licence 3282-154 (WI)

Record details

NPI number1205068681
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSE , CCC-SLP
Sole proprietorYes
NPI enumeratedAugust 18, 2009
Last updated in NPPESJanuary 12, 2017

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