Doctor Name: | JULIA CALDWELL CRAINE |
NPI Number: | 1184934374 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 020133 |
Business Practice Address: | 133 Aviation Rd Queensbury, NY - 128048206 |
Business Phone Number: | 5187980170 |
Business Fax Number: | 5187619538 |
Mailing Address: | 13 Locust Street, GLENS FALLS |
State: | NY |
Postal Code: | 12801 |
Phone Number: | 5187612025 |
Fax Number: | 5187612035 |
NPI Enumeration Date: | 10/21/2010 |
NPI Last Update Date: | 04/28/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 020133 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
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 |