Individual
MS. CRYSTAL NICHOLE THOMASON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED. CCC-SLP
Contact information
Practice address
105 ANY WAY ST, LAKE JACKSON, TX 77566-4198
(229) 460-1555
Mailing address
11 CEDAR RIDGE ROAD, TIFTON, GA 31794
(229) 460-1555
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
103124
TX
235Z00000X
Speech-Language Pathologist
SLP006390
GA
Other
Enumeration date
05/11/2007
Last updated
07/08/2007
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