Crystal Moore Koppal in Gainesville - Speech-language Pathologist
Crystal Moore Koppal - NPI 1619185048
Crystal Moore Koppal is a Speech-language Pathologist in Gainesville, Florida. Crystal Moore Koppal practices all healthcare services and medical treatments related to Speech-language Pathologist. The NPI Number for Crystal Moore Koppal is 1619185048. The last update date is 2007-07-09.
Crystal Moore Koppal's current location address is 305 Nw 28th St, Gainesville, Florida. You can contact this provider via phone number 3523711865 and fax number 3523329941. The mailing address for Crystal Moore Koppal is 305 Nw 28th St, Gainesville, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Crystal Moore Koppal |
|---|---|
| Address | 305 Nw 28th St, Gainesville, Florida |
| Phone Number | 3523711865 |
| Fax Number | 3523329941 |
| Sole Proprietor | Y |
| Credentials | CCC-SLP |
NPI Number Detail
| NPI Number | 1619185048 |
|---|---|
| Provider Enumeration Date | 2007-05-18 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 305 Nw 28th St |
|---|---|
| City | Gainesville |
| State | Florida (FL) |
| Post Code | 326072565 |
| Phone Number | 3523711865 |
| Fax Number | 3523329941 |
Provider's Primary Taxonomy Detail
| Speciality | Speech-language Pathologist |
|---|---|
| Taxonomy | 235Z00000X |
| Licence No | SA8120 |
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Definition: The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Spe |
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What is the unique 10-digit identification code issued to Crystal Moore Koppal by the Centers for Medicare & Medicaid Services?
The Crystal Moore Koppal has been assigned the NPI (National Provider Identifier) 1619185048 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you provide the complete address where Crystal Moore Koppal is physically located?
The Crystal Moore Koppal is situated at the following address: 305 Nw 28Th St, Gainesville, FL 326072565.
What is Crystal Moore Koppal's specialized field of practice, and what is the corresponding taxonomy classification code?
The Crystal Moore Koppal's area of specialization is Speech-language Pathologist, and the corresponding taxonomy code that categorizes this field of practice is 235Z00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1619185048 to Crystal Moore Koppal?
The Centers for Medicare & Medicaid Services assigned the 1619185048 to Crystal Moore Koppal on 2007-05-18.
When was the information regarding Crystal Moore Koppal most recently updated?
The details pertaining to the Crystal Moore Koppal, including its address, specialty, and other relevant information, were last refreshed on 2007-07-09.
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