Krystal Klear Speech Services

LBN: Krystal Klear Speech Services
Krystal Klear Speech Services is an health care organization with primary practice located at 4075 Demooney Rd , College Park GA 30349-1312. The organization recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as the primary health care specialty. Krystal Klear Speech Services can be contacted via phone (404) 520-0087, or through Gambrell, Krystal via phone (404) 520-0087.

Contact Information

Primary practice address
4075 Demooney Rd College Park GA 30349-1312
Phone: (404) 520-0087
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Gambrell, Krystal
Phone: (404) 520-0087

Health care specialties

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

Profile Details

NPI number 1477199073
LBN Legal business name Krystal Klear Speech Services
DBA Doing business as
Authorized official Gambrell, Krystal
Entity Organization
Organization subpart 1 No
Enumeration date Nov 19th, 2019
Last updated Dec 21st, 2020 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1477199073 NPPES
Georgia MEDICAID 1629370853

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