Individual
CRYSTAL R MIDDLETON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP
Contact information
Practice address
208 BONAIRE DR, OAK GROVE, LA 71263-7710
(318) 547-0572
Mailing address
PO BOX 14662, MONROE, LA 71207-4662
(318) 547-0572
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
6081
LA
Other
Enumeration date
10/12/2006
Last updated
12/26/2024
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