Broussard, Crystal Marie

Broussard, Crystal Marie is an sole proprietor health care provider with primary practice located at 16251 N Cleveland Ave Ste 8 , North Fort Myers FL 33903-2176. She recently has 2 registered licenses in different health care specialties including Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter, Speech, Language and Hearing Service Providers / Audiologist. Speech, Language and Hearing Service Providers / Audiologist is her primary health care specialty. Broussard, Crystal Marie can be contacted via phone (239) 997-8288.

Contact Information

Primary practice address
16251 N Cleveland Ave Ste 8 North Fort Myers FL 33903-2176
Phone: (239) 997-8288
Fax: (239) 997-8084
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter 237600000X AY1198 Florida
Speech, Language and Hearing Service Providers / Audiologist 231H00000X AY1198 Florida

Profile Details

NPI number 1770763559
LBN Legal business name Broussard, Crystal Marie
Credentials AU.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 8th, 2007
Last updated Feb 15th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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