Phaedra Crisman, SLP

Speech-Language Pathologist · Manakin Sabot, VA

Individual Active NPI

NPI number 1699227256

Practice location

44 Broad Street Rd
Route 250
Manakin Sabot, VA 23103-2213
Phone
(804) 784-7090
Fax
(804) 784-7092

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NPI record

NPI
1699227256
Entity type
Individual (Type 1)
Enumeration date
October 31, 2016
Last updated
October 31, 2016
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Speech-Language Pathologist Primary 235Z00000X 2202005546 VA

Mailing address

655 Northern Blvd
South Abington Township, PA 18411-8740
Phone
(570) 842-9323
Fax
(570) 842-9362

About Phaedra Crisman

Phaedra Crisman, SLP is a healthcare provider registered in the NPI registry with the primary taxonomy Speech-Language Pathologist (code 235Z00000X). The practice location is 44 Broad Street Rd, Route 250, Manakin Sabot, VA 23103-2213. The NPI number 1699227256 was assigned on October 31, 2016 and the record was last updated on October 31, 2016.

Phaedra Crisman lists a license in the registry: #2202005546 (VA) for Speech-Language Pathologist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Phaedra Crisman, SLP?

The NPI number is 1699227256.

What is the phone number of Phaedra Crisman?

The phone number listed for the practice location is (804) 784-7090.

Where is Phaedra Crisman located?

44 Broad Street Rd, Route 250, Manakin Sabot, VA 23103-2213.

What is the taxonomy code for Phaedra Crisman?

The primary taxonomy code is 235Z00000X – Speech-Language Pathologist.

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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