Doctor Name: | MS. LAURIE LYNN CRAIN |
NPI Number: | 1356562136 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MASTERS OF SCIENCE |
License Number: | 50798 |
Business Practice Address: | 1321 Dd Sunset Dr Grenada, MS - 38901 |
Business Phone Number: | 6622260101 |
Business Fax Number: | 6622269458 |
Mailing Address: | Po Box 891, 1321 Dd Sunset Dr GRENADA |
State: | MS |
Postal Code: | 38901 |
Phone Number: | 6622260101 |
Fax Number: | 6622269458 |
NPI Enumeration Date: | 05/01/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 50798 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MS |
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 |