Individual
MS. CRYSTEN ANN LOUISE POPE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS.CCC-SLP
Contact information
Practice address
1511 LATIGO CIR, ROSWELL, NM 88201
(575) 317-7951
Mailing address
1511 LATIGO CIR, ROSWELL, NM 88201-3489
(575) 317-7951
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4903
NM
235Z00000X
Speech-Language Pathologist
C-4738
NM
Other
Enumeration date
08/30/2010
Last updated
08/07/2018
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