Doctor Name: | MRS. TINA LYNN CRACIUN |
NPI Number: | 1710190848 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.A. CCC-SLP |
License Number: | |
Business Practice Address: | 401 S Ballenger Hwy Flint, MI - 485323638 |
Business Phone Number: | 8103422792 |
Business Fax Number: | |
Mailing Address: | 7160 Glen Oak Dr, GRAND BLANC |
State: | MI |
Postal Code: | 484399243 |
Phone Number: | 8109531065 |
Fax Number: | |
NPI Enumeration Date: | 05/07/2007 |
NPI Last Update Date: | 10/04/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
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 |