Healthcare Provider Details

I. General information

NPI: 1902990195
Provider Name (Legal Business Name): DANA MCCRAW WALCHEK AUD, F/AAA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/03/2006
Last Update Date: 02/12/2024
Certification Date: 02/12/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

832 PRINCETON AVE SW
BIRMINGHAM AL
35211-1320
US

IV. Provider business mailing address

3000 MEADOW LAKE DR STE 108
BIRMINGHAM AL
35242-0302
US

V. Phone/Fax

Practice location:
  • Phone: 205-206-8471
  • Fax: 205-206-8367
Mailing address:
  • Phone: 205-739-2242
  • Fax: 205-739-2238

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number823A
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: