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Contact Information

CRYSTAL SHAW OBERLE
6508 GUNN HWY
TAMPA, FL33625
 Phone: 813-963-6923
 Fax: 813-264-0768
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Speech-Language Assistant

2355S0801X
 

Developmental Therapist

222Q00000X
Indicates primary specialty

NPI Profile & details for CRYSTAL SHAW OBERLE · (Female)

NPI # 1154651685
Status Active
Credentials
Entity Individual
Enumeration date 01/06/2010
Last updated 04/26/2011 - About 15 years ago
Sole proprietor 1 No
Identifiers
  • FL License # SI1760
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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