=====================================================
General NPI Number Information
=====================================================
NPI Number | 1003731779
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | EMMA CRAWFORD MS
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 08/12/2026
-----------------------------------------------------
Last Update Date | 08/12/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1122 KENILWORTH DR STE 105
-----------------------------------------------------
City | TOWSON
-----------------------------------------------------
State | MD
-----------------------------------------------------
Zip | 21204-2141
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 443-841-7785
-----------------------------------------------------
Fax | 443-519-5601
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 344 LONG MEADOW WAY
-----------------------------------------------------
City | ARNOLD
-----------------------------------------------------
State | MD
-----------------------------------------------------
Zip | 21012-3004
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone |
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 133V00000X
-----------------------------------------------------
Taxonomy Name | Registered Dietitian
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------