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NPI Code Detail

MEDICARE: EMMA CRAWFORD

MEDICARE:   EMMA  CRAWFORD
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
1235Z00000XSpeech-Language PathologistPSLP.0000519CO

General Provider Information

NPI Number : 1114585031
Entity Type Code : Individual
Provider Name (Legal Business Name) : EMMA CRAWFORD
Provider Business Mailing Address
First Line : 4535 N CLAY ST
Second Line :
City : DENVER
State : CO
Zip : 80211-1434
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 9700 E POWERS AVE
Second Line :
City : GREENWOOD VILLAGE
State : CO
Zip : 80111-3545
Country : US
Telephone Number : 303-596-9074
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/05/2019
Last Update Date : 06/05/2019

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Directions to “ EMMA CRAWFORD ” Practice Location

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