Krystal Nicole Green, SLPA
NPI #1992283634 in Port Saint Lucie, Florida
Provider Information
- NPI Number
- 1992283634
- Entity Type
- Individual
- Name
- Krystal Nicole Green, SLPA
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Speech-Language Pathologist
- Credential
- SLPA
- Enumeration Date
- Aug 3, 2018
- Last Updated
- Oct 18, 2023
Practice Location
- Address
- 549 NW LAKE WHITNEY PL STE 104
- City
- Port Saint Lucie
- State
- Florida
- ZIP Code
- 34986-1606
- Phone
- (772) 301-1207
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
| Specialist/Technologist - Speech-Language Assistant — Speech-Language Assistant |
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