Provider Demographics
NPI:1407014715
Name:SKELTON, KRYSTLE MURPHY (MA, CFY-SLP)
Entity Type:Individual
Prefix:MRS
First Name:KRYSTLE
Middle Name:MURPHY
Last Name:SKELTON
Suffix:
Gender:F
Credentials:MA, CFY-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4142 BONNEY RD
Mailing Address - Street 2:
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23452-1711
Mailing Address - Country:US
Mailing Address - Phone:757-340-0620
Mailing Address - Fax:
Practice Address - Street 1:4142 BONNEY RD
Practice Address - Street 2:
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23452-1711
Practice Address - Country:US
Practice Address - Phone:757-340-0620
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-05-23
Last Update Date:2008-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2202005370235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist