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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

CRYSTAL PARK
NPI 1902722994
Speech-Language Pathologist in Winder, GA

Active since June 25, 2026
204 RESOURCE LN, WINDER, GA 30680(678) 963-0694 Get Directions Write a Review

NPPES record added: June 25, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Crystal Park NPPES

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

CRYSTAL PARK (NPI 1902722994) is an individual speech-language pathologist provider in Winder, Georgia, licensed in Georgia (SLP014168) and active in the NPI registry since June 2026.

NPPES Registry Identity

NPI1902722994
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameCRYSTAL PARK
Location Address204 RESOURCE LNWinder, GA 30680-8361
Mailing Address204 Resource LnWinder, GA 30680-8361 · (678) 963-0694
Phone(678) 963-0694
Sole ProprietorYes
Enumeration DateJune 25, 2026
NPPES CertifiedJune 25, 2026
✔ NPI 1902722994 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
License✔ Licensed in GA · SLP014168
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.
204 RESOURCE LN, Winder, GA 30680
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LAURA ASHFORD OTD, OTR/L
Occupational Therapist
204 RESOURCE LN
WINDER, GA 30680
Barrow County (678) 963-0694
JILL RODIBAUGH CCC-SLP
Speech-Language Pathologist
204 RESOURCE LN
WINDER, GA 30680
Barrow County (678) 963-0694
ERICA WHITE
Occupational Therapist
204 RESOURCE LN
WINDER, GA 30680
Barrow County (678) 963-0694
CHANDLER FORTSON M.ED., CCC-SLP
Speech-Language Pathologist
204 RESOURCE LN
WINDER, GA 30680
Barrow County (678) 963-0694
CAROLINE SMITH PETMECKY
Physical Therapist
204 RESOURCE LN
WINDER, GA 30680
Barrow County (678) 963-0694
MELISSA BISHOP
Speech-Language Pathologist
204 RESOURCE LN
WINDER, GA 30680
Barrow County (678) 963-0694
TIFFANY HORTON
Speech-Language Pathologist
204 RESOURCE LN
WINDER, GA 30680
Barrow County (678) 963-0694
JULIA PARAMOURE M.ED., CCC-SLP
Speech-Language Pathologist
204 RESOURCE LN
WINDER, GA 30680
Barrow County (678) 963-0694

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 Park's NPI number?

The NPI number for Crystal Park is 1902722994. It was assigned to this individual provider in the NPPES registry on June 25, 2026.

Where is Crystal Park located?

Crystal Park practices at 204 Resource Ln, Winder, GA 30680. The listed phone number is (678) 963-0694.

What is Crystal Park'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 Park was last updated on June 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 55 days 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.