| Crystal R Middleton, MA, CCC-SLP | |
|
208 Bonaire Dr, Oak Grove, LA 71263-7710 | |
| (318) 547-0572 | |
| Not Available |
| Full Name | Crystal R Middleton |
|---|---|
| Gender | Female |
| Speciality | Speech-language Pathologist |
| Location | 208 Bonaire Dr, Oak Grove, Louisiana |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821187170 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | 6081 (Louisiana) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Crystal R Middleton, MA, CCC-SLP Po Box 14662, Monroe, LA 71207-4662 Ph: (318) 547-0572 | Crystal R Middleton, MA, CCC-SLP 208 Bonaire Dr, Oak Grove, LA 71263-7710 Ph: (318) 547-0572 |
Ms. Thelma Diane Broadhurst, MA, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 604 Marietta St., Oak Grove, LA 71263 Phone: 318-428-3659 Fax: 318-428-3659 | |
Yulanda Yvette Johnson, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 307 N Castleman St, Oak Grove, LA 71263 Phone: 318-428-3248 |