Individual
CRYSTAL DEFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
119 BASTILLE DR, PAGOSA SPRINGS, CO 81147-9388
(888) 873-4221
Mailing address
119 BASTILLE DR, PAGOSA SPRINGS, CO 81147-9388
(888) 873-4221
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP.0001965
CO
Other
Enumeration date
08/04/2015
Last updated
08/04/2015
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