Individual
CRISTY MCIVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4605 GROVE POINT DR, TAMPA, FL 33624
(734) 536-9314
Mailing address
3451 QUEENS ST APT 128, SARASOTA, FL 34231-8257
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA 10467
FL
Other
Enumeration date
01/11/2012
Last updated
04/10/2019
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