Healthcare Provider Details

I. General information

NPI: 1023931003
Provider Name (Legal Business Name): HALEY RAE CRAWFORD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/04/2026
Last Update Date: 08/04/2026
Certification Date: 08/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3400 ROMINE RD
LITTLE ROCK AR
72204-4246
US

IV. Provider business mailing address

701 RAHLING RD APT 4312
LITTLE ROCK AR
72223-3008
US

V. Phone/Fax

Practice location:
  • Phone: 501-447-6300
  • Fax:
Mailing address:
  • Phone: 310-738-5927
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: