Crystal Marie Tetreault, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Practice address

189 Prouty Dr
Newport, VT 05855-9326

Phone

(802) 334-3260

Fax

(802) 334-4143

NPI assigned

Nov 6, 2007

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1194307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194307200000",
    "number": "1922288091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "189 PROUTY DR",
            "city": "NEWPORT",
            "state": "VT",
            "postal_code": "058559326",
            "telephone_number": "802-334-3260",
            "fax_number": "802-334-4143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "189 PROUTY DR",
            "city": "NEWPORT",
            "state": "VT",
            "postal_code": "058559326",
            "telephone_number": "802-334-3260",
            "fax_number": "802-334-4143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TETREAULT",
        "first_name": "CRYSTAL",
        "middle_name": "MARIE",
        "name_prefix": "Miss",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-06",
        "last_updated": "2007-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brooklyn Szych-Brown, PA-C
• Lynn Tanguay, BA
• Tina Marie Tarryk, MHC
• Juana Elizabeth Tejada Pichette, DOCTOR OF PHARMACY
• Lorina Maxine Testut
• Brooke Therrien
• Thirty Five Bel-Aire Drive SNF Operations LLC (Bel-Aire Center)
• Thomas Ae Moseley (Newport Pediatrics & Adolescent Medicine PLLC)
• Gracelynn Thwaite
• Anthony J Tomaselli, P.T.

• Speech-Language Pathologist in Newport, VT
• Providers in Newport, VT by specialty
• Speech-Language Pathologist in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.