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NPI Code Detail

MEDICARE: MATILYN ALYSE CROWDER SLP

MEDICARE:   MATILYN ALYSE CROWDER  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 Pathologist115551TX

General Provider Information

NPI Number : 1972334365
Entity Type Code : Individual
Provider Name (Legal Business Name) : MATILYN ALYSE CROWDER SLP
Provider Business Mailing Address
First Line : 1401 HIGHEDGE DR
Second Line :
City : PLANO
State : TX
Zip : 75075-7520
Country : US
Telephone Number : 469-752-7800
Fax Number :
Provider Business Practice Location Address
First Line : 1401 HIGHEDGE DR
Second Line :
City : PLANO
State : TX
Zip : 75075-7520
Country : US
Telephone Number : 469-752-7800
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/08/2024
Last Update Date : 08/08/2024

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Directions to “ MATILYN ALYSE CROWDER SLP” Practice Location

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