Crystal Clayton, M.S. CCC-SLP
Individual provider Active NPI Speech-Language Pathologist · Hartford, KY
NPI 1437545993 · NPPES record last updated Apr 6, 2017
Key facts
- NPI
- 1437545993
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 139971 (KY)
- Practice address
- 252 Matilda LN
Hartford, KY 42347-9241 - Phone
- (270) 256-8293
- NPI assigned
- Apr 11, 2015
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 139971 | KY | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Theratree, LLC. | Speech-Language Pathologist | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 139971 | KY | Yes |
Addresses
Primary practice location
252 Matilda LN
Hartford, KY 42347-9241
Mailing address
252 Matilda LN
Hartford, KY 42347-9241
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100342210 | Medicaid | KY |
Other providers in Hartford, KY
- Megan Callis
- Pamela Ann Cardwell
- Misty Maree Carroll
- Shannon Denise Casey
- Christian Care at Home - Pennyroyal, Limited
- Cohron Family Optometric Services Inc
- Com-Care, Inc
- Com-Care, Inc
- Countryside Family Care
- Ashley Davis
All providers in Hartford, KY · Speech-Language Pathologist in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 6, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.