Doctor Name: | JULIA CRAWFORD |
NPI Number: | 1902207749 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | SA 13442 |
Business Practice Address: | 14391 Metropolis Ave 101 Fort Myers, FL - 339124421 |
Business Phone Number: | 2395612778 |
Business Fax Number: | 2395618107 |
Mailing Address: | 14391 Metropolis Ave, 101 FORT MYERS |
State: | FL |
Postal Code: | 339124421 |
Phone Number: | 2395612778 |
Fax Number: | 2395618107 |
NPI Enumeration Date: | 09/11/2014 |
NPI Last Update Date: | 04/26/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SA 13442 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
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 |