KRYSTAL NICOLE GREEN

PORT SAINT LUCIE, FL
NPI1992283634
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: FL  SZ11217)
Additional Taxonomies2355S0801X Specialist/Technologist, Speech-Language Assistant
(Licence: FL  3394)
Enumeration Date2018-08-03
Last Update Date2023-10-18
Business Address
KRYSTAL NICOLE GREEN SLPA
549 NW LAKE WHITNEY PL STE 104
PORT SAINT LUCIE, FL 34986-1606
Phone number: 772-301-1207
Mailing Address
KRYSTAL NICOLE GREEN SLPA
1821 SW LEWIS ST
PORT SAINT LUCIE, FL 34987-2079
Phone number: 772-971-1439