Doctor Name: | CRYSTAL L FAIRFIELD |
NPI Number: | 1023453784 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 4269 |
Business Practice Address: | 5110 S Yale Ave #102 Tulsa, OK - 741357401 |
Business Phone Number: | 9184922386 |
Business Fax Number: | 9186458686 |
Mailing Address: | 5110 S Yale Ave, #102 TULSA |
State: | OK |
Postal Code: | 741357401 |
Phone Number: | 9184922386 |
Fax Number: | 9186458686 |
NPI Enumeration Date: | 05/07/2013 |
NPI Last Update Date: | 04/13/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 4269 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OK |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |