Doctor Name: | ERIN B CROFOOT |
NPI Number: | 1154601425 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA CCC-SLP |
License Number: | 3050 |
Business Practice Address: | 100000 W. 75th St. Suite 250 Merriam, KS - 66204 |
Business Phone Number: | 9138941910 |
Business Fax Number: | 9138941174 |
Mailing Address: | 610 S Roosevelt St, MARION |
State: | KS |
Postal Code: | 668611360 |
Phone Number: | 3166178097 |
Fax Number: | |
NPI Enumeration Date: | 08/18/2011 |
NPI Last Update Date: | 08/18/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 3050 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | KS |
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 |