Provider Demographics
NPI:1104933464
Name:MURPHREE-HOLDEN, CRYSTAL A (MA, CCC-SLP)
Entity type:Individual
Prefix:MS
First Name:CRYSTAL
Middle Name:A
Last Name:MURPHREE-HOLDEN
Suffix:
Gender:F
Credentials:MA, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1224 SUMTER ST STE 300
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29201-3323
Mailing Address - Country:US
Mailing Address - Phone:803-777-2514
Mailing Address - Fax:803-253-4143
Practice Address - Street 1:1224 SUMTER ST
Practice Address - Street 2:SUITE 300
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29201-3323
Practice Address - Country:US
Practice Address - Phone:803-777-2614
Practice Address - Fax:803-253-4143
Is Sole Proprietor?:No
Enumeration Date:2006-08-24
Last Update Date:2014-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC425235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC1558331264OtherUSC SPEECH & HEARING CTR