Individual
CHRYSTAL K BHOLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
888 NW 27TH AVE, MIAMI, FL 33125-3000
(786) 431-1133
Mailing address
100 NW 108TH TER APT 208, PEMBROKE PINES, FL 33026-4088
(305) 527-9532
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA11401
FL
235Z00000X
Speech-Language Pathologist
SZ5366
FL
Other
Enumeration date
03/17/2011
Last updated
03/19/2021
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