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NPI Code Detail

MEDICARE: MS. TRINA L. CRAWL CCC/SLP

MEDICARE: MS. TRINA L. CRAWL 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 Pathologist2401AL

General Provider Information

NPI Number : 1790949188
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. TRINA L. CRAWL CCC/SLP
Provider Business Mailing Address
First Line : 323 FORREST PARK CT NW
Second Line :
City : HUNTSVILLE
State : AL
Zip : 35806-1873
Country : US
Telephone Number : 256-489-6099
Fax Number :
Provider Business Practice Location Address
First Line : 500 SAINT CLAIR AVE SW
Second Line :
City : HUNTSVILLE
State : AL
Zip : 35801-5021
Country : US
Telephone Number : 256-533-0508
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/15/2008
Last Update Date : 07/15/2008

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Directions to “ MS. TRINA L. CRAWL CCC/SLP” Practice Location

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