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NPI Code Detail

MEDICARE: ERIN DEANN MCCRARY M.S./CCC-SLP

MEDICARE: ERIN DEANN MCCRARY M.S./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 Pathologist2882KS
2235Z00000XSpeech-Language Pathologist3568OK

General Provider Information

NPI Number : 1851575872
Entity Type Code : Individual
Provider Name (Legal Business Name) : ERIN DEANN MCCRARY M.S./CCC-SLP
Provider Business Mailing Address
First Line : 7737 S MINGO RD APT 913
Second Line :
City : TULSA
State : OK
Zip : 74133-3326
Country : US
Telephone Number : 918-706-5037
Fax Number :
Provider Business Practice Location Address
First Line : 2221 W DETROIT ST
Second Line :
City : BROKEN ARROW
State : OK
Zip : 74012-3628
Country : US
Telephone Number : 918-615-6492
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/27/2007
Last Update Date : 01/22/2010

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Directions to “ ERIN DEANN MCCRARY M.S./CCC-SLP” Practice Location

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