Doctor Name: | MRS. LAURA ANN CRAINE |
NPI Number: | 1679815955 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S., CCC-SP |
License Number: | SP6638 |
Business Practice Address: | 595 Millich Dr Ste 105 Campbell, CA - 950080550 |
Business Phone Number: | 4089109374 |
Business Fax Number: | |
Mailing Address: | 18311 Clemson Ave, SARATOGA |
State: | CA |
Postal Code: | 950704707 |
Phone Number: | 4089109374 |
Fax Number: | 4083745583 |
NPI Enumeration Date: | 03/25/2013 |
NPI Last Update Date: | 03/25/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SP6638 |
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 |