Individual
MRS. CRYSTAL C PAVLICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSP
Contact information
Practice address
10103 COTTER CT, FREDERICKSBURG, VA 22408-9243
(540) 834-0362
Mailing address
10103 COTTER CT, FREDERICKSBURG, VA 22408-9243
(540) 834-0362
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202004572
VA
Other
Enumeration date
07/25/2007
Last updated
07/25/2007
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