NPI Code Details Logo

NPI 1194940254

NPI 1194940254 : JOANNE WEIDEL CROWSON AUD : COOPERSTOWN, NY

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1194940254
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    JOANNE WEIDEL CROWSON AUD
-----------------------------------------------------
    Gender               |    Female 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    04/16/2007
-----------------------------------------------------
    Last Update Date     |    09/04/2009
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    1 ATWELL ROAD 
-----------------------------------------------------
    City                 |    COOPERSTOWN
-----------------------------------------------------
    State                |    NY
-----------------------------------------------------
    Zip                  |    13326-1394
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    800-227-7399
-----------------------------------------------------
    Fax                  |    607-547-6552
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    1 ATWELL ROAD 
-----------------------------------------------------
    City                 |    COOPERSTOWN
-----------------------------------------------------
    State                |    NY
-----------------------------------------------------
    Zip                  |    13326-1394
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    800-227-7399
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    231H00000X
-----------------------------------------------------
    Taxonomy Name        |    Audiologist
-----------------------------------------------------
    License Number       |    A 01234
-----------------------------------------------------
    License Number State |    OH
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    235Z00000X
-----------------------------------------------------
    Taxonomy Name        |    Speech-Language Pathologist
-----------------------------------------------------
    License Number       |    SP 4338
-----------------------------------------------------
    License Number State |    OH
-----------------------------------------------------
Taxonomy #3
-----------------------------------------------------
    Taxonomy Code        |    237700000X
-----------------------------------------------------
    Taxonomy Name        |    Hearing Instrument Specialist
-----------------------------------------------------
    License Number       |    A 01234
-----------------------------------------------------
    License Number State |    OH
-----------------------------------------------------
Taxonomy #4
-----------------------------------------------------
    Taxonomy Code        |    237600000X
-----------------------------------------------------
    Taxonomy Name        |    Audiologist-Hearing Aid Fitter
-----------------------------------------------------
    License Number       |    A 01234
-----------------------------------------------------
    License Number State |    OH
-----------------------------------------------------
Taxonomy #5
-----------------------------------------------------
    Taxonomy Code        |    231H00000X
-----------------------------------------------------
    Taxonomy Name        |    Audiologist
-----------------------------------------------------
    License Number       |    002257-1
-----------------------------------------------------
    License Number State |    NY
-----------------------------------------------------
Taxonomy #6
-----------------------------------------------------
    Taxonomy Code        |    235Z00000X
-----------------------------------------------------
    Taxonomy Name        |    Speech-Language Pathologist
-----------------------------------------------------
    License Number       |    019122-1
-----------------------------------------------------
    License Number State |    NY
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.