Individual
MISS CRYSTAL MARIE TETREAULT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
189 PROUTY DR, NEWPORT, VT 05855-9326
(802) 334-3260
(802) 334-4143
Mailing address
189 PROUTY DR, NEWPORT, VT 05855-9326
(802) 334-3260
(802) 334-4143
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
11/06/2007
Last updated
11/06/2007
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