KRYSTAL KLEAR SPEECH SERVICES, LLC (NPI# 1477199073) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477199073 |
| Entity Type | Organization |
| Organization Name | KRYSTAL KLEAR SPEECH SERVICES, LLC |
| Practice Address |
4075 Demooney Rd College Park GA 30349-1312 |
| Practice Telephone | 4045200087 |
| Enumeration Date | 2019-11-19 |
| Last Update Date | 2019-11-19 |
| Authorized Official Name | KRYSTAL GAMBRELL (OWNER/CEO) |
| Authorized Official Telephone | 4045200087 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | Speech, Language and Hearing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 1629370853 | 05 |
| Street Address |
4075 DEMOONEY RD |
| City | COLLEGE PARK |
| State | GA |
| Zip Code | 30349-1312 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376185686 | Kmb Diagnostics | Durable Medical Equipment & Medical Supplies | 941 Flat Shoals Rd, Atlanta, GA 30349 | 2019-10-09 |
| 1114575859 | Justin Vassell | Registered Nurse | 1903 Phoenix Boulevard, Suite 200, College Park, GA 30349 | 2019-08-27 |
| 1841856663 | Kennyetta Danielle Watkins | Counselor | 1431 Riverwalk Ln, Apt. F, College Park, GA 30349 | 2019-05-16 |
| 1275002636 | Patriot Healthcare of Georgia, LLC | Family Medicine | 1587 Phoenix Boulevard, Suite 6, College Park, GA 30349 | 2018-11-15 |
| 1669971875 | Ee Consulting Solution | Case Management | 6320 Topaz Tral, Arlanta, GA 30349 | 2018-02-03 |
| 1629595640 | Shayla Bouie | Contractor | 5420 Riverdale Rd Apt D17, Atlanta, GA 30349 | 2017-08-30 |
| 1114475563 | Jasmine V Mccully | Social Worker | 5864 Summergien Lane, College Park, GA 30349 | 2016-09-14 |
| 1639537681 | Shelia Thornton | Counselor | 5856 Seabright Lane, Atlanta, GA 30349 | 2016-02-05 |
| 1346610177 | Joanne Resilard | Nurse Practitioner | 2931 Herron Ln Sw, Atlanta, GA 30349 | 2015-10-06 |
| 1063805091 | Southwest Atlanta Medical & Rehabilitation Clinic LLC | Family Medicine | 495 85 Circle, Suite 100, Atlanta, GA 30349 | 2015-03-16 |
| Find all providers in zip 30349 | ||||
| Taxonomy Code | 235Z00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Speech-Language Pathologist |
| The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing. |
| Notes: "Scope of Practice in Speech-Language Pathology", American Speech-Language-Hearing Association, 2013. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194360768 | Advant Therapy Services LLC | Speech-Language Pathologist | 4827 Old National Hwy, Pmb 1619, College Park, GA 30337 | 2019-11-07 |
| 1225598279 | Diamond Godbolt | Speech-Language Pathologist | 9530 Baltimore Ave # 337b, College Park, MD 20740-1322 | 2019-03-24 |
| 1598237059 | Vanessa Searcy | Speech-Language Pathologist | 5101 Pierce Ave, College Park, MD 20740-2599 | 2018-12-21 |
| 1578952560 | Wellspring Therapy Services | Speech-Language Pathologist | 9118 48th Pl, College Park, MD 20740-1863 | 2015-01-14 |
| 1780992743 | Kathy Margaret Dow-burger | Speech-Language Pathologist | University of Maryland Hesp, 0100 Le Frak Hall, College Park, MD 20742-0001 | 2010-09-23 |
| 1790001717 | Tara Ann James | Speech-Language Pathologist | 6654 Overlook Rdg, College Park, GA 30349-1394 | 2010-04-15 |
| 1164756698 | Janine Elaine James | Speech-Language Pathologist | 4673 Creekside Cv, College Park, GA 30349-3936 | 2009-09-30 |
| 1477796902 | Colleen K Worthington | Speech-Language Pathologist | Dept. of Hearing & Speech Sciences 0100 Lefrak Hall, University of Maryland, College Park, MD 20742 | 2009-04-14 |
| 1518100189 | Vivian Diane Sisskin | Speech-Language Pathologist | 0100 Lefrak Hall, Dept. of Hearing & Speech Scienceuniversity of Maryland, College Park, MD 20742 | 2009-04-13 |
| 1790997492 | Jarena Campbell | Speech-Language Pathologist | 4520 Creekside Cv, College Park, GA 30349-3957 | 2007-05-04 |
| Find all providers in COLLEGE PARK | ||||
| City | COLLEGE PARK |
| Zip Code | 30349 |
Please comment or provide details below to improve the information on KRYSTAL KLEAR SPEECH SERVICES, LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.