MEDICARE: CRYSTAL GRIFFITH SLP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	235Z00000X	Speech-Language Pathologist	SLP1980	WV
2	235Z00000X	Speech-Language Pathologist	124592	TX
3	235Z00000X	Speech-Language Pathologist	61011754	WA
4	235Z00000X	Speech-Language Pathologist	SA19043	FL
5	235Z00000X	Speech-Language Pathologist	2202009980	VA

General Provider Information

NPI Number	:	1508288697
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CRYSTAL GRIFFITH SLP

Provider Business Mailing Address
First Line	:	100 N HOWARD ST STE R
Second Line	:
City	:	SPOKANE
State	:	WA
Zip	:	99201-0508
Country	:	US
Telephone Number	:	941-312-3232
Fax Number	:

Provider Business Practice Location Address
First Line	:	12012 SGT ALCHESAY CT
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79908-3251
Country	:	US
Telephone Number	:	941-312-3232
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/09/2014
Last Update Date	:	12/19/2025

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Directions to “ CRYSTAL GRIFFITH SLP” Practice Location

Language	Start Address	Practice Location

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