| Doctor Name: | JANE CROCKETT |
| NPI Number: | 1073872198 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | SLP |
| License Number: | SLP #1176 |
| Business Practice Address: | 8115 E Indian Bend Rd Scottsdale, AZ - 852504819 |
| Business Phone Number: | 4809516451 |
| Business Fax Number: | |
| Mailing Address: | 15307 N 93rd Way, SCOTTSDALE |
| State: | AZ |
| Postal Code: | 852602839 |
| Phone Number: | 6028216425 |
| Fax Number: | |
| NPI Enumeration Date: | 05/09/2012 |
| NPI Last Update Date: | 05/09/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | SLP #1176 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AZ |
| 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 |