Doctor Name: | DIANA ANDERSON CROSHAW |
NPI Number: | 1053747329 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS, CCC-SLP |
License Number: | SLP.0001555 |
Business Practice Address: | 5420 S Quebec St Ste 103 Greenwood Village, CO - 801111902 |
Business Phone Number: | 3032217827 |
Business Fax Number: | |
Mailing Address: | 13214 W Utah Cir, LAKEWOOD |
State: | CO |
Postal Code: | 802284228 |
Phone Number: | 8014043650 |
Fax Number: | |
NPI Enumeration Date: | 09/18/2013 |
NPI Last Update Date: | 09/18/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SLP.0001555 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CO |
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 |