Doctor Name: | MRS. RENEE A CRAWFORD |
NPI Number: | 1013252956 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA |
License Number: | LL60321655 |
Business Practice Address: | 2700 Nw 119th St # Stl Vancouver, WA - 986853608 |
Business Phone Number: | 3603131750 |
Business Fax Number: | |
Mailing Address: | 3504 Nw 118th St, VANCOUVER |
State: | WA |
Postal Code: | 986853459 |
Phone Number: | 9712073319 |
Fax Number: | |
NPI Enumeration Date: | 12/04/2012 |
NPI Last Update Date: | 12/04/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | LL60321655 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |