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Individual

CRYSTAL ROMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.A., CCC-SLP

Contact information

Practice address
606 SHERBURN CT, ORLANDO, FL 32828-9017
(407) 883-8636
Mailing address
13517 HARTLE GROVES PL APT 209, CLERMONT, FL 34711-8757
(407) 451-7028

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA15414
FL
235Z00000X
Speech-Language Pathologist
SZ7535
FL

Other

Enumeration date
05/23/2016
Last updated
03/03/2021
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