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NPI Code Detail

MEDICARE: DEBRA CROSBY

MEDICARE: DEBRA CROSBY
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 PathologistSLP1189AZ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1548310279
Entity Type Code : Individual
Provider Name (Legal Business Name) : DEBRA CROSBY
Provider Business Mailing Address
First Line : 140 S GILBERT RD
Second Line :
City : GILBERT
State : AZ
Zip : 85296-1016
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4045 E UNION HILLS DR STE 110
Second Line :
City : PHOENIX
State : AZ
Zip : 85050-3389
Country : US
Telephone Number : 602-751-4949
Fax Number : 480-451-7780
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/12/2007
Last Update Date : 01/17/2019

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1649823063 — REANNA WEBB
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85050-3389
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1376162743 — JENNIFER LYNN CLAUSING OTD
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Directions to “ DEBRA CROSBY ” Practice Location

Language Start Address Practice Location
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.

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