Update this page – If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS.
Individual
KRYSTAL NICOLE GREEN
Active
Individual
KRYSTAL NICOLE GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLPA
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
3394
FL
235Z00000X
Speech-Language Pathologist
Primary
SZ11217
FL
Other
Enumeration date
08/03/2018
Last updated
10/18/2023
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