Healthcare Provider Details

I. General information

NPI: 1699815993
Provider Name (Legal Business Name): BARBARA CROTTY AU.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: BARBARA LYN DIXON CROTTY

II. Dates (important events)

Enumeration Date: 02/07/2007
Last Update Date: 06/04/2025
Certification Date: 06/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

75 BEEKMAN ST
PLATTSBURGH NY
12901-1438
US

IV. Provider business mailing address

111 COLCHESTER AVE
BURLINGTON VT
05401-1473
US

V. Phone/Fax

Practice location:
  • Phone: 518-561-2000
  • Fax:
Mailing address:
  • Phone: 802-847-0000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number145.0133384
License Number StateVT
# 2
Primary TaxonomyN
Taxonomy Code231HA2400X
TaxonomyAssistive Technology Practitioner Audiologist
License NumberAY1023
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code231H00000X
TaxonomyAudiologist
License NumberAY1023
License Number StateFL
# 4
Primary TaxonomyN
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License NumberAY1023
License Number StateFL
# 5
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number002571
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: