Crystal J Edwards
Individual provider Active NPI Speech-Language Pathologist · Many, LA
NPI 1639633134 · NPPES record last updated Jan 29, 2019
Key facts
- NPI
- 1639633134
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 110693 (TX)
- Practice address
- 965 Fisher Rd
Many, LA 71449-3819 - Phone
- (337) 499-6650
- NPI assigned
- Jan 29, 2019
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 110693 | TX | MD | Occupational Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 110693 | TX | Yes |
Addresses
Primary practice location
965 Fisher Rd
Many, LA 71449-3819
Mailing address
PO Box 311
Many, LA 71449-0311
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All providers in Many, LA · Speech-Language Pathologist in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 29, 2019. 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.