DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. CRYSTAL MARIE BROUSSARD, AU.D.

Active Sole Proprietor

DR. CRYSTAL MARIE BROUSSARD, AU.D. is a Audiologist healthcare provider located in NORTH FORT MYERS, Florida. NPI 1770763559 is currently active in the NPPES registry. Verify at CMS.

Audiologist · NORTH FORT MYERS, FL

Registration Details

NPI Number
1770763559
Provider Type
Individual
Gender
Female
NPI Issued
Nov 8, 2007 (18.742487830299 yrs)
Last Updated
Feb 15, 2022
Licenses
AY1198 (FL)
AY1198 (FL)
Sole Proprietor
Yes

Practice Information

Address
16251 N CLEVELAND AVE STE 8
NORTH FORT MYERS, FL, 339032176
Browse FL providers · Browse ZIP 33903
Phone
2399978288
Fax
2399978084
Primary Specialty
Audiologist
231H00000X
Additional Specialty
Audiologist

Other Audiologist Providers in NORTH FORT MYERS, FL

Name Credential NPI
DR. GRACE BERRY AU.D. 1588859508
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.