Thomas, Crystal Lynn

Thomas, Crystal Lynn is an individual health care provider with primary practice located at 12835 N Mimosa Dr Apt C , Fountain Hills AZ 85268-3978. 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. Thomas, Crystal Lynn can be contacted via phone (386) 853-0500.

Contact Information

Primary practice address
12835 N Mimosa Dr Apt C Fountain Hills AZ 85268-3978
Phone: (386) 853-0500
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X SA11111 Florida
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X SLP13428 Arizona

Profile Details

NPI number 1821132457
LBN Legal business name Thomas, Crystal Lynn
Credentials MCD, CCC-SLP
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 16th, 2007
Last updated Sep 27th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1821132457 NPPES
Arkansas MEDICAID 152596721

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