MEDICARE: CRYSTAL AURICH

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

General Provider Information

NPI Number	:	1598609240
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CRYSTAL AURICH

Provider Business Mailing Address
First Line	:	8735 COUNTY ROAD 6 SW
Second Line	:
City	:	HOWARD LAKE
State	:	MN
Zip	:	55349-5540
Country	:	US
Telephone Number	:	763-682-8575
Fax Number	:

Provider Business Practice Location Address
First Line	:	214 1ST AVE NE
Second Line	:
City	:	BUFFALO
State	:	MN
Zip	:	55313-1602
Country	:	US
Telephone Number	:	763-682-8575
Fax Number	:

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

Provider Enumeration Date	:	04/15/2026
Last Update Date	:	04/15/2026

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Directions to “ CRYSTAL AURICH ” Practice Location

Language	Start Address	Practice Location

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