CRYSTAL RANDOLPH CCC-SLP
NPI 1366763104
Speech-Language Pathologist in Charlotte, NC

Active since June 16, 2010
1414 BRAY DR, CHARLOTTE, NC 28214(225) 454-9872 Get Directions Write a Review

NPPES record last updated: August 10, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Crystal Randolph Ccc-slp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CRYSTAL RANDOLPH CCC-SLP (NPI 1366763104) is an individual speech-language pathologist provider in Charlotte, North Carolina, licensed in Louisiana (5955) and active in the NPI registry since June 2010.

NPPES Registry Identity

NPI1366763104
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameCRYSTAL RANDOLPHCredential: CCC-SLP
Location Address1414 BRAY DRCharlotte, NC 28214-1042
Mailing Address1414 Bray DrCharlotte, NC 28214-1042 · (225) 454-9872
Sole ProprietorYes
Enumeration DateJune 16, 2010
Last NPPES UpdateAugust 10, 2012
NPI 1366763104 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
Licenses Licensed in LA · 5955 Licensed in NC · 8774
Definition
The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.
1414 BRAY DR, Charlotte, NC 28214

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Crystal Randolph's NPI number?

The NPI number for Crystal Randolph is 1366763104. It was assigned to this individual provider in the NPPES registry on June 16, 2010.

Where is Crystal Randolph located?

Crystal Randolph practices at 1414 Bray Dr, Charlotte, NC 28214. The listed phone number is (225) 454-9872.

What is Crystal Randolph's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

When was this NPI record last updated?

The NPPES record for Crystal Randolph was last updated on August 10, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.