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1376735910 NPI number — AMY B CROW SLP

NPI Number: 1376735910
Health Care Provider/Practitioner: AMY B CROW SLP

Information about “1376735910” NPI (AMY B CROW SLP) exists in 1376735910 in HTML format HTML  |  1376735910 in plain Text format TXT  |  1376735910 in PDF (Portable Document Format) PDF  |  1376735910 in an XML format XML  formats.

NPI Number : 1376735910 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1376735910",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "CROW",
    "FirstName": "AMY",
    "MiddleName": "B",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "SLP",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "KING",
    "OtherFirstName": "AMY",
    "OtherMiddleName": "B",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "MC, CCC-SLP",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "440 HIGHWAY 59 LOOP S",
    "SecondLineMailingAddress": "STE 104",
    "MailingAddressCityName": "LIVINGSTON",
    "MailingAddressStateName": "TX",
    "MailingAddressPostalCode": "77351-9096",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "936-328-8148",
    "MailingAddressFaxNumber": "936-327-2491",
    "FirstLinePracticeLocationAddress": "440 HIGHWAY 59 LOOP S",
    "SecondLinePracticeLocationAddress": "SUITE 104",
    "PracticeLocationAddressCityName": "LIVINGSTON",
    "PracticeLocationAddressStateName": "TX",
    "PracticeLocationAddressPostalCode": "77351-9096",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "936-328-8148",
    "PracticeLocationAddressFaxNumber": "936-327-2491",
    "EnumerationDate": "08/17/2007",
    "LastUpdateDate": "12/10/2024",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "235Z00000X",
          "TaxonomyName": "Speech-Language Pathologist",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "235Z00000X",
          "TaxonomyName": "Speech-Language Pathologist",
          "LicenseNumber": "24833",
          "LicenseNumberStateCode": "TX",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "235Z00000X",
          "TaxonomyName": "Speech-Language Pathologist",
          "LicenseNumber": "24933",
          "LicenseNumberStateCode": "TX",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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