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

Individual provider Speech-Language Pathologist · NPI 1366763104

Crystal Randolph, CCC-SLP is a Speech-Language Pathologist in Charlotte, North Carolina. Practices as a sole proprietor. Licensed in Louisiana and North Carolina.

Licensed in
LA, NC
In the registry since
2010
Specialties on file
2
What do these letters mean?
CCC-SLP — Certificate of Clinical Competence in Speech-Language Pathology
A speech-language pathologist certified by ASHA.

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Practice location Address checks out

1414 Bray Dr
Charlotte, NC 28214-1042
Phone: (225) 454-9872
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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 5955 (LA)
Speech-Language Pathologist Taxonomy 235Z00000X · Licence 8774 (NC)

Record details

NPI number1366763104
Entity typeIndividual (Type 1)
GenderFemale
Credentials CCC-SLP
Sole proprietorYes
NPI enumeratedJune 16, 2010
Last updated in NPPESAugust 10, 2012

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