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

Individual provider Speech-Language Pathologist · NPI 1619185048

Mrs. Crystal Moore Koppal, CCC-SLP is a Speech-Language Pathologist in Gainesville, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2007
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

1034 NW 57th St Ste C
Gainesville, FL 32605-6452
Phone: (352) 332-9015
Fax: (352) 332-9941
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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 SA8120 (FL)

Record details

NPI number1619185048
Entity typeIndividual (Type 1)
GenderFemale
Credentials CCC-SLP
Sole proprietorYes
NPI enumeratedMay 18, 2007
Last updated in NPPESJuly 9, 2007

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