Individual
CHRYSTIN LENORE RICKERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
111 STADIUM DR, BOARDMAN, OH 44512-5521
(330) 726-3428
Mailing address
7410 MARKET ST, BOARDMAN, OH 44512-5612
(330) 770-7274
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP.11781
OH
Other
Enumeration date
09/07/2018
Last updated
12/15/2020
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