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NPI Code Detail

MEDICARE: MS. JOCELYN FREDRICKA CRAWFORD M.ED, CCC-SLP

MEDICARE:  MS. JOCELYN FREDRICKA CRAWFORD  M.ED, 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 Pathologist7166NC

General Provider Information

NPI Number : 1578649497
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. JOCELYN FREDRICKA CRAWFORD M.ED, CCC-SLP
Provider Business Mailing Address
First Line : 1757 METROMEDICAL DR APT D
Second Line :
City : FAYETTEVILLE
State : NC
Zip : 28304-3886
Country : US
Telephone Number : 336-456-2579
Fax Number :
Provider Business Practice Location Address
First Line : 820 S BOYLAN AVE
Second Line :
City : RALEIGH
State : NC
Zip : 27603-2246
Country : US
Telephone Number : 919-733-1368
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/31/2006
Last Update Date : 07/08/2007

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Directions to “ MS. JOCELYN FREDRICKA CRAWFORD M.ED, CCC-SLP” Practice Location

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