MEDICARE: CRAN SPEECH AND LANGUAGE, LLC

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	261QH0700X	Hearing and Speech Clinic/Center

General Provider Information

NPI Number	:	1811717663
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CRAN SPEECH AND LANGUAGE, LLC

Provider Business Mailing Address
First Line	:	5412 ASPEN ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77081-6602
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	6802 BUFFALO SPEEDWAY
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77025-1405
Country	:	US
Telephone Number	:	713-666-2345
Fax Number	:

Authorized Official
Title or Position	:	OWNER SPEECH LANGUAGE PATHOLOGIST
Name	:	DANA CRAN
Credential	:
Telephone Number	:	832-930-3394

Provider Enumeration Date	:	10/16/2024
Last Update Date	:	10/16/2024

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Directions to “CRAN SPEECH AND LANGUAGE, LLC ” Practice Location

Language	Start Address	Practice Location

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