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NPI Code Detail

MEDICARE: HEATHER DIANNE CRAIG M.S., CCC-SLP

MEDICARE:   HEATHER DIANNE CRAIG  M.S., CCC-SLP
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
1235Z00000XSpeech-Language Pathologist2006000541MO

General Provider Information

NPI Number : 1225275266
Entity Type Code : Individual
Provider Name (Legal Business Name) : HEATHER DIANNE CRAIG M.S., CCC-SLP
Provider Business Mailing Address
First Line : 220 OROURKE DR
Second Line :
City : PLATTE CITY
State : MO
Zip : 64079-9360
Country : US
Telephone Number : 816-858-5222
Fax Number :
Provider Business Practice Location Address
First Line : 220 OROURKE DR
Second Line :
City : PLATTE CITY
State : MO
Zip : 64079-9360
Country : US
Telephone Number : 816-858-5222
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/13/2009
Last Update Date : 01/13/2009

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Directions to “ HEATHER DIANNE CRAIG M.S., CCC-SLP” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.