Healthcare Provider Details

I. General information

NPI: 1396656336
Provider Name (Legal Business Name): ANNA CRAVEN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/16/2026
Last Update Date: 09/16/2026
Certification Date: 09/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4275 MIDDLE RD
WINCHESTER VA
22602-2520
US

IV. Provider business mailing address

1226 LAKE SHORE DR
FOREST VA
24551-2132
US

V. Phone/Fax

Practice location:
  • Phone: 540-869-8642
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number2202012284
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: