Phaedra Crisman, SLP

NPI #1699227256 in Manakin Sabot, Virginia

Provider Information

NPI Number
1699227256
Entity Type
Individual
Name
Phaedra Crisman, SLP
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Speech-Language Pathologist
Credential
SLP
Enumeration Date
Oct 31, 2016
Last Updated
Oct 31, 2016

Practice Location

Address
44 BROAD STREET RD
Address 2
ROUTE 250
ZIP Code
23103-2213
Phone
(804) 784-7090

Specialties & Taxonomy Codes

Specialty
Speech-Language Pathologist

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