Randolph, Crystal

Randolph, Crystal is an sole proprietor health care provider with primary practice located at 1414 Bray Dr , Charlotte NC 28214-1042. 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. Randolph, Crystal can be contacted via phone (225) 454-9872.

Contact Information

Primary practice address
1414 Bray Dr Charlotte NC 28214-1042
Phone: (225) 454-9872
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 5955 Louisiana
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 8774 North Carolina

Profile Details

NPI number 1366763104
LBN Legal business name Randolph, Crystal
Credentials CCC-SLP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 16th, 2010
Last updated Aug 10th, 2012 - about 14 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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