Crystal Marie Webber, M.ED., CCC-SLP
Individual provider Active NPI Speech-Language Pathologist · Alapaha, GA
NPI 1790721835 · NPPES record last updated Jan 12, 2021
Key facts
- NPI
- 1790721835
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- SLP005968 (GA)
- Practice address
- 430 Ken Holyoak Rd
Alapaha, GA 31622-2224 - Phone
- (229) 686-0847
- NPI assigned
- Jun 20, 2006
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 3
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 Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SLP005968 | GA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Webber Therapy Services LLC | Speech-Language Pathologist | Current | Accepting new patients |
| Crystal Webber | Speech-Language Pathologist | Current | Accepting new patients |
| Webber Therapy Services | Speech-Language Pathologist | Current | Accepting new patients |
Locations
408 W Washington Ave
Nashville, GA 31639
Phone (229) 300-6735
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SLP005968 | GA | Yes |
Addresses
Primary practice location
430 Ken Holyoak Rd
Alapaha, GA 31622-2224
Mailing address
430 Ken Holyoak Rd
Alapaha, GA 31622-2224
Phone (229) 686-0847
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 703655185D | Medicaid | GA |
Other providers in Alapaha, GA
- Owen Family Transport LLC
- Kelly Paris-Spurlock
- Adrianne Vickers Roberts.
- Webber Therapy Services
- Webber Therapy Services LLC
All providers in Alapaha, GA · Speech-Language Pathologist in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 12, 2021. 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.