| Doctor Name: | MS. CRYSTAL RAE AHLBORG |
| NPI Number: | 1871759779 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MS, CFY/SLP |
| License Number: | SI60022185 |
| Business Practice Address: | 1006 N H St Aberdeen, WA - 985202521 |
| Business Phone Number: | 3605338500 |
| Business Fax Number: | |
| Mailing Address: | 1015 Lincoln St Apt A, HOQUIAM |
| State: | WA |
| Postal Code: | 985501020 |
| Phone Number: | 4027147499 |
| Fax Number: | |
| NPI Enumeration Date: | 07/31/2008 |
| NPI Last Update Date: | 07/31/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | SI60022185 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WA |
| 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 |