Individual
MRS. CRYSTAL MOORE KOPPAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
1034 NW 57TH ST, SUITE C, GAINESVILLE, FL 32605-6452
(352) 332-9015
(352) 332-9941
Mailing address
305 NW 28TH ST, GAINESVILLE, FL 32607-2565
(352) 371-1865
(352) 332-9941
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA8120
FL
Other
Enumeration date
05/18/2007
Last updated
07/09/2007
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