Healthcare Provider Details

I. General information

NPI: 1841897188
Provider Name (Legal Business Name): DEBBIE S. CRAWFORD M.S. CCC/SLP, L/SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: DEBORAH S. CRAWFORD M.S. CCC/SLP, L/SLP

II. Dates (important events)

Enumeration Date: 10/08/2020
Last Update Date: 10/08/2020
Certification Date: 10/06/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7440 C JONES LN
DENHAM SPGS LA
70706-0609
US

IV. Provider business mailing address

29849 MAGNOLIA ST.
LIVINGSTON LA
70754
US

V. Phone/Fax

Practice location:
  • Phone: 225-485-6176
  • Fax:
Mailing address:
  • Phone: 225-686-7600
  • 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: