Individual
MISS KRYSTAL MARIE DITZIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CF-SLP
Contact information
Practice address
800 HAUSMAN RD, ALLENTOWN, PA 18104-9393
(610) 398-8011
Mailing address
189 SPRINGFIELD DR, BANGOR, PA 18013-9227
(570) 290-5654
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SL012967
PA
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
09/14/2015
Last updated
12/16/2021
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