Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Crystal Koran, SLP

Individual provider Speech-Language Pathologist · NPI 1033765904

Crystal Koran, SLP is a Qualified Speech Language Pathologist in Leonardtown, Maryland. Qualified in 2005, 21 years ago. Practices with Bluebonnet Therapy Specialists PLLC, a 4-clinician group and accepts Medicare assignment. Licensed in Maryland.

Years since qualifying
21
Licensed in
MD
In the registry since
2019
What do these letters mean?
SLP — Speech-Language Pathologist
Treats speech, language and swallowing disorders.

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Practice location Address checks out

25480 Point Lookout Rd
Leonardtown, MD 20650-3801
Phone: (301) 769-6456
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 08996 (MD)

Record details

NPI number1033765904
Entity typeIndividual (Type 1)
GenderFemale
Credentials SLP
Sole proprietorNo
NPI enumeratedAugust 15, 2019
Last updated in NPPESAugust 15, 2019
Mailing address22051 Cedar Point Rd, Patuxent River, MD 20670-1166

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyQUALIFIED SPEECH LANGUAGE PATHOLOGIST
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice Bluebonnet Therapy Specialists Pllc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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