Provider Demographics
NPI:1891003646
Name:CREAR, CHRISTEL M (SLP)
Entity type:Individual
Prefix:MRS
First Name:CHRISTEL
Middle Name:M
Last Name:CREAR
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3619 HILLTOP LN
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75023-8042
Mailing Address - Country:US
Mailing Address - Phone:469-298-0432
Mailing Address - Fax:
Practice Address - Street 1:3619 HILLTOP LN
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75023-8042
Practice Address - Country:US
Practice Address - Phone:469-298-0432
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-15
Last Update Date:2013-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX102142235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist