Individual
CRYSTAL ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
1483 SW BOUGAINVILLEA AVE, PORT ST LUCIE, FL 34953-7302
(772) 337-4208
Mailing address
771 SW GENERAL PATTON TER, PORT ST LUCIE, FL 34953-2657
(772) 607-1282
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA20372
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SA20372
DEPARTMENT OF HEALTH - LICENSE
FL
Enumeration date
08/09/2021
Last updated
08/29/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us