Green, Krystal Nicole

Green, Krystal Nicole is an sole proprietor health care provider with primary practice located at 549 Nw Lake Whitney Pl Ste 104 , Port Saint Lucie FL 34986-1606. She recently has 2 registered licenses in different health care specialties including Speech, Language and Hearing Service Providers / Speech-Language Pathologist, Speech, Language and Hearing Service Providers / Speech-Language Assistant. Speech, Language and Hearing Service Providers / Speech-Language Pathologist is her primary health care specialty. Green, Krystal Nicole can be contacted via phone (772) 301-1207.

Contact Information

Primary practice address
549 Nw Lake Whitney Pl Ste 104 Port Saint Lucie FL 34986-1606
Phone: (772) 301-1207
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X SZ11217 Florida
Speech, Language and Hearing Service Providers / Speech-Language Assistant 2355S0801X 3394 Florida

Profile Details

NPI number 1992283634
LBN Legal business name Green, Krystal Nicole
Credentials SLPA
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 3rd, 2018
Last updated Oct 18th, 2023 - about 2 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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