Doctor Name: | CRYSTAL MONTEMAYOR |
NPI Number: | 1063731792 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | SLPL6077 |
Business Practice Address: | 17100 E Shea Blvd #225 Fountain Hills, AZ - 852686625 |
Business Phone Number: | 4808374565 |
Business Fax Number: | |
Mailing Address: | 2415 S Mulberry, MESA |
State: | AZ |
Postal Code: | 852027531 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 05/20/2010 |
NPI Last Update Date: | 05/20/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2355S0801X |
License Number: | SLPL6077 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AZ |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Specialist/Technologist |
Taxonomy Specialization: | Speech-Language Assistant |
Taxonomy Definition: |