Doctor Name: | DENNIS ANTHONY CRAFT |
NPI Number: | 1407218506 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | SLP MA CCC |
License Number: | SP 22781 |
Business Practice Address: | 1111 W 6th St Ste 11 Suite 11 Los Angeles, CA - 900171800 |
Business Phone Number: | 9167306570 |
Business Fax Number: | |
Mailing Address: | 1111 W 6th St Ste 11, Suite 11 LOS ANGELES |
State: | CA |
Postal Code: | 900171800 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 03/28/2016 |
NPI Last Update Date: | 03/28/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SP 22781 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
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 |