Doctor Name: | MRS. JENNIFER SHEPHARD CROUSE |
NPI Number: | 1467612747 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA |
License Number: | ASHA09119722 |
Business Practice Address: | 1011 W Maple St Ste 300 Kalamazoo Speech Associates Kalamazoo, MI - 49008 |
Business Phone Number: | 2693437811 |
Business Fax Number: | 2693437811 |
Mailing Address: | 1011 W Maple St, Ste 300 Kalamazoo Speech Associates KALAMAZOO |
State: | MI |
Postal Code: | 49008 |
Phone Number: | 2693437811 |
Fax Number: | 2693437811 |
NPI Enumeration Date: | 06/11/2008 |
NPI Last Update Date: | 06/11/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | ASHA09119722 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
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 |