Individual
CRYSTAL CLAYTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
252 MATILDA LN, HARTFORD, KY 42347-9241
(270) 256-8293
Mailing address
252 MATILDA LN, HARTFORD, KY 42347-9241
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
139971
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100342210
—
KY
Enumeration date
04/11/2015
Last updated
04/06/2017
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