Individual
CRYSTAL SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
204 W O ST, WEEPING WATER, NE 68463-4255
(402) 659-0702
Mailing address
1543 S 143RD ST, OMAHA, NE 68144-1009
(402) 659-0702
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
948
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0948
NE DHHS
NE
Enumeration date
06/02/2021
Last updated
06/02/2021
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