MEDICARE: MS. MARLA CROTTS 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
1	235Z00000X	Speech-Language Pathologist	3281	NC

General Provider Information

NPI Number	:	1952674350
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. MARLA CROTTS M.ED., CCC-SLP

Provider Business Mailing Address
First Line	:	2042 10TH STREET LN NW
Second Line	:
City	:	HICKORY
State	:	NC
Zip	:	28601-1763
Country	:	US
Telephone Number	:	828-446-2435
Fax Number	:

Provider Business Practice Location Address
First Line	:	2042 10TH STREET LN NW
Second Line	:
City	:	HICKORY
State	:	NC
Zip	:	28601-1763
Country	:	US
Telephone Number	:	828-446-2435
Fax Number	:

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

Provider Enumeration Date	:	02/15/2012
Last Update Date	:	03/13/2026

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