Organization
CRYSTAL CLEAR SPEECH AND LANGUAGE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DEANA LACY MCQUITTY CCC-SLP (OWNER)
(336) 638-4637
Entity
Organization
Contact information
Practice address
1901 DEIDRE CT, GREENSBORO, NC 27406-8697
(336) 638-4637
(336) 638-4637
Mailing address
1901 DEIDRE CT, GREENSBORO, NC 27406-8697
(336) 638-4637
(336) 638-4637
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5120
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7411784
—
NC
Enumeration date
07/22/2009
Last updated
04/06/2010
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