Crystal Marie Campus

Developmental Therapist · Lakeland, FL

Individual Active NPI

NPI number 1073372835

Practice location

1836 N Crystal Lake Dr Apt 72
Lakeland, FL 33801-6587
Phone
(708) 205-8186

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NPI record

NPI
1073372835
Entity type
Individual (Type 1)
Enumeration date
March 14, 2024
Last updated
April 12, 2024
Certified
April 12, 2024
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Developmental Therapist Primary 222Q00000X — FL

About Crystal Campus

Crystal Marie Campus is a healthcare provider registered in the NPI registry with the primary taxonomy Developmental Therapist (code 222Q00000X). The practice location is 1836 N Crystal Lake Dr Apt 72, Lakeland, FL 33801-6587. The NPI number 1073372835 was assigned on March 14, 2024 and the record was last updated on April 12, 2024.

Frequently asked questions

What is the NPI number of Crystal Marie Campus?

The NPI number is 1073372835.

What is the phone number of Crystal Campus?

The phone number listed for the practice location is (708) 205-8186.

Where is Crystal Campus located?

1836 N Crystal Lake Dr Apt 72, Lakeland, FL 33801-6587.

What is the taxonomy code for Crystal Campus?

The primary taxonomy code is 222Q00000X – Developmental Therapist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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