Individual
CRYSTAL GENTRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP/MS-CCC
Contact information
Practice address
4460 S HIGHLAND DR STE 300, SALT LAKE CITY, UT 84124-3562
(888) 949-4864
Mailing address
PO BOX 572070, MURRAY, UT 84157-2070
(801) 263-7138
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
10552937-4102
UT
Other
Enumeration date
10/20/2009
Last updated
12/20/2018
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