Doctor Name: | MRS. CRYSTAL LYN EASTER |
NPI Number: | 1962835520 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S. CF-SLP |
License Number: | SZ6267 |
Business Practice Address: | 880 Nw 86th Ave Apt 824 Plantation, FL - 333241260 |
Business Phone Number: | 5732311802 |
Business Fax Number: | |
Mailing Address: | 880 Nw 86th Ave, Apt 824 PLANTATION |
State: | FL |
Postal Code: | 333241260 |
Phone Number: | 5732311802 |
Fax Number: | |
NPI Enumeration Date: | 08/18/2013 |
NPI Last Update Date: | 08/18/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SZ6267 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
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 |