Provider Demographics
NPI:1073963484
Name:CRADY, ANNA (AUD)
Entity Type:Individual
Prefix:
First Name:ANNA
Middle Name:
Last Name:CRADY
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:302 MERCHANTS WALK
Mailing Address - Street 2:SUITE 100
Mailing Address - City:TUSCALOOSA
Mailing Address - State:AL
Mailing Address - Zip Code:35406-2290
Mailing Address - Country:US
Mailing Address - Phone:205-523-9300
Mailing Address - Fax:205-523-9301
Practice Address - Street 1:302 MERCHANTS WALK
Practice Address - Street 2:SUITE 100
Practice Address - City:TUSCALOOSA
Practice Address - State:AL
Practice Address - Zip Code:35406-2290
Practice Address - Country:US
Practice Address - Phone:205-523-9300
Practice Address - Fax:205-523-9301
Is Sole Proprietor?:No
Enumeration Date:2016-06-16
Last Update Date:2016-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1165A231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist