MEDICARE: CAROLINE HUDGENS CRAIG 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
1	235Z00000X	Speech-Language Pathologist	SLP.0005806	CO

General Provider Information

NPI Number	:	1659083921
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CAROLINE HUDGENS CRAIG SLP

Provider Business Mailing Address
First Line	:	3912 S WADSWORTH BLVD APT 107
Second Line	:
City	:	LAKEWOOD
State	:	CO
Zip	:	80235-2265
Country	:	US
Telephone Number	:	804-869-7472
Fax Number	:

Provider Business Practice Location Address
First Line	:	3912 S WADSWORTH BLVD APT 107
Second Line	:
City	:	LAKEWOOD
State	:	CO
Zip	:	80235-2265
Country	:	US
Telephone Number	:	804-869-7472
Fax Number	:

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

Provider Enumeration Date	:	12/19/2022
Last Update Date	:	02/29/2024

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Directions to “ CAROLINE HUDGENS CRAIG SLP” Practice Location

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