Most Relevant Information
Provider Data
| NPI Number: | 1003014069 |
| Provider Name: | CRYSTAL LEE CLOVER MS-SLP |
| Entity Type: | Individual |
| Taxonomy Code: | 235Z00000X |
| Specialty: | Speech-Language Pathologist |
| License Number: | SP-1151 |
Most Important Dates
| Enumeration Date: | 07/10/2007 |
| Last Updated: | 07/10/2007 |
Provider Practice Location
8540 S EASTERN AVE
SUITE 180
LAS VEGAS
NV
891232834
Practice Location Phone/Fax
| Phone: | 7027338255 |
| Fax: | 7027378255 |
Provider Mailing Location
8540 S EASTERN AVE
SUITE 180
LAS VEGAS
NV
891232834
Provider Mailing Phone/Fax
| Phone: | 7027338255 |
| Fax: | 7027378255 |