Doctor Name: | MRS. CRYSTAL ANNE BROOKS |
NPI Number: | 1124289988 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSCCCSLP |
License Number: | SLP4376 |
Business Practice Address: | 4600 E Shea Blvd Suite 101 Phoenix, AZ - 850286024 |
Business Phone Number: | 6023688601 |
Business Fax Number: | |
Mailing Address: | 5826 E Hartford Ave, SCOTTSDALE |
State: | AZ |
Postal Code: | 85254 |
Phone Number: | 6023341175 |
Fax Number: | |
NPI Enumeration Date: | 06/24/2008 |
NPI Last Update Date: | 07/31/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SLP4376 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AZ |
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 |