Individual
CRYSTAL MOSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
2569 COOK RD, CROSSVILLE, TN 38571-3208
(931) 510-1961
Mailing address
108 DEER CREEK DR, CROSSVILLE, TN 38571-3207
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
6106
TN
Other
Enumeration date
05/10/2018
Last updated
06/10/2020
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