MEDICARE: DR. EMERSON KATHLEEN CRAWFORD AUD-CCC.A

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	231H00000X	Audiologist	AY3009	FL

General Provider Information

NPI Number	:	1043144280
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. EMERSON KATHLEEN CRAWFORD AUD-CCC.A

Provider Business Mailing Address
First Line	:	20 W BLUE CORAL DR
Second Line	:
City	:	SANTA ROSA BEACH
State	:	FL
Zip	:	32459-4550
Country	:	US
Telephone Number	:	615-974-3669
Fax Number	:

Provider Business Practice Location Address
First Line	:	36474C EMERALD COAST PKWY
Second Line	:
City	:	DESTIN
State	:	FL
Zip	:	32541-6700
Country	:	US
Telephone Number	:	833-354-1492
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/11/2026
Last Update Date	:	06/11/2026

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