Individual
KRYSTAL COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP ASSISTANT
Contact information
Practice address
6301 GASTON AVE STE 750, DALLAS, TX 75214-3922
(214) 295-5374
Mailing address
5511 GASTON AVE APT 101, DALLAS, TX 75214-4991
(972) 837-5217
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
37031
—
Other
Enumeration date
01/19/2018
Last updated
01/19/2018
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