Provider Demographics
NPI:1376833897
Name:SIGALA, KRISTA NICOLE
Entity Type:Individual
Prefix:MS
First Name:KRISTA
Middle Name:NICOLE
Last Name:SIGALA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2333 E SOUTHERN AVE UNIT 2067
Mailing Address - Street 2:
Mailing Address - City:TEMPE
Mailing Address - State:AZ
Mailing Address - Zip Code:85282-7646
Mailing Address - Country:US
Mailing Address - Phone:714-655-4293
Mailing Address - Fax:
Practice Address - Street 1:4960 S GILBERT RD
Practice Address - Street 2:SUITE 1-496
Practice Address - City:CHANDLER
Practice Address - State:AZ
Practice Address - Zip Code:85249-5982
Practice Address - Country:US
Practice Address - Phone:480-320-2304
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-04-18
Last Update Date:2011-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZSLPA71232355S0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant