Koppal, Crystal Moore

Koppal, Crystal Moore is an sole proprietor health care provider with primary practice located at 1034 Nw 57Th St Suite C, Gainesville FL 32605-6452. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Koppal, Crystal Moore can be contacted via phone (352) 332-9015.

Contact Information

Primary practice address
1034 Nw 57Th St Suite C Gainesville FL 32605-6452
Phone: (352) 332-9015
Fax: (352) 332-9941
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X SA8120 Florida

Profile Details

NPI number 1619185048
LBN Legal business name Koppal, Crystal Moore
Credentials CCC-SLP
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 18th, 2007
Last updated Jul 9th, 2007 - about 19 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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