Individual
CRYSTAL GRANADOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 N UNIVERSITY DR, FORT WORTH, TX 76107-1360
(814) 817-2000
Mailing address
100 N UNIVERSITY DR, FORT WORTH, TX 76107-1360
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
08/09/2022
Last updated
08/09/2022
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