Individual
CRYSTAL ASHBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
1210 W BROADWAY APT 6, CENTRALIA, IL 62801-5600
(661) 733-1559
Mailing address
1210 W BROADWAY APT 6, CENTRALIA, IL 62801-5600
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
08/19/2022
Last updated
08/19/2022
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