Individual
KRYSTAL ARCHIBALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
3710 OLENTANGY RIVER RD, COLUMBUS, OH 43214-3426
(440) 376-8407
Mailing address
3710 OLENTANGY RIVER RD, COLUMBUS, OH 43214-3426
(440) 376-8407
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
SA17112
FL
235Z00000X
Speech-Language Pathologist
Primary
SP13827
OH
390200000X
Student in an Organized Health Care Education/Training Program
SZ8355
FL
Other
Enumeration date
10/01/2017
Last updated
11/22/2020
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