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

Krystal Nicole Green, SLPA

Individual provider Speech-Language Pathologist · NPI 1992283634

Krystal Nicole Green, SLPA is a Speech-Language Pathologist in Port Saint Lucie, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2018
Specialties on file
2

Practice location Address checks out

549 NW Lake Whitney Pl Ste 104
Port Saint Lucie, FL 34986-1606
Phone: (772) 301-1207
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence SZ11217 (FL)
Speech-Language Assistant Taxonomy 2355S0801X · Licence 3394 (FL)

Record details

NPI number1992283634
Entity typeIndividual (Type 1)
GenderFemale
Credentials SLPA
Sole proprietorYes
NPI enumeratedAugust 3, 2018
Last updated in NPPESOctober 18, 2023
Certification dateOctober 18, 2023

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