MEDICARE: ALISA ANN CRAWLEY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	235Z00000X	Speech-Language Pathologist	653709	WI

General Provider Information

NPI Number	:	1083556781
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALISA ANN CRAWLEY

Provider Business Mailing Address
First Line	:	6603 W FLORAL LN
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53223-1233
Country	:	US
Telephone Number	:	901-830-8085
Fax Number	:

Provider Business Practice Location Address
First Line	:	1228 W LLOYD ST
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53205-1243
Country	:	US
Telephone Number	:	414-264-6000
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/09/2026
Last Update Date	:	04/09/2026

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Directions to “ ALISA ANN CRAWLEY ” Practice Location

Language	Start Address	Practice Location

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