Doctor Name: | MRS. NANNETTE M CRAWFORD |
NPI Number: | 1972812659 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA CCC-SLP |
License Number: | SL000255L |
Business Practice Address: | 5401 Peach Street Suite 3600 Erie, PA - 16509 |
Business Phone Number: | 8148687850 |
Business Fax Number: | 8148682115 |
Mailing Address: | 1 Lecom Place, ERIE |
State: | PA |
Postal Code: | 165052571 |
Phone Number: | 8148682507 |
Fax Number: | 8148682522 |
NPI Enumeration Date: | 09/29/2010 |
NPI Last Update Date: | 11/11/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SL000255L |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
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 |