MEDICARE: PAIGE LAWSON CRAWLEY M.S. CCC-SLP

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	113779-4102	UT

General Provider Information

NPI Number	:	1407075005
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PAIGE LAWSON CRAWLEY M.S. CCC-SLP

Provider Business Mailing Address
First Line	:	1922 GLENDON CIR
Second Line	:
City	:	PLEASANT GROVE
State	:	UT
Zip	:	84062-8568
Country	:	US
Telephone Number	:	801-785-6641
Fax Number	:	801-785-6641

Provider Business Practice Location Address
First Line	:	1922 GLENDON CIR
Second Line	:
City	:	PLEASANT GROVE
State	:	UT
Zip	:	84062-8568
Country	:	US
Telephone Number	:	801-785-6641
Fax Number	:	801-785-6641

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

Provider Enumeration Date	:	04/24/2007
Last Update Date	:	07/08/2007

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Directions to “ PAIGE LAWSON CRAWLEY M.S. CCC-SLP” Practice Location

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