Individual
CRYSTAL HENRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AUD
Contact information
Practice address
11635 EUCLID AVE, CLEVELAND, OH 44106-4319
(216) 231-8787
(216) 231-8787
Mailing address
11635 EUCLID AVE, CLEVELAND, OH 44106-4319
(216) 231-8787
(216) 231-8787
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
A02189
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0349245
—
OH
Enumeration date
05/16/2019
Last updated
07/02/2019
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