Individual
MS. CRYSTAL L FEDOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED., CCC-SLP
Contact information
Practice address
609 EAST THIRD STREET, PEMBROKE, NC 28372-2842
(910) 734-6231
Mailing address
PO BOX 2842, PEMBROKE, NC 28372
(910) 734-6231
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
8051
NC
Other
Enumeration date
09/03/2008
Last updated
09/03/2008
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