| Organization Name: | CRYSTA'S SPEECH AND LANGUAGE SERVICES, LLC |
| NPI Number: | 1568769289 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | CRYSTAL C. ROGERS (MANAGER) |
| Mailing Address: | 2150 E Dowling Rd Ste C Anchorage |
| State: | AK US |
| Postal Code: | 995071979 |
| Phone Number: | 9073367323 |
| Fax Number: | |
| NPI Enumeration Date: | 02/15/2011 |
| NPI Last Update Date: | 02/15/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | 951315 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AK |
| 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 |