Provider Demographics
NPI:1225286537
Name:CRAWFORD, RAQUEL MALIA (MCD, CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:RAQUEL
Middle Name:MALIA
Last Name:CRAWFORD
Suffix:
Gender:F
Credentials:MCD, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:55 COUNTY ROAD 336
Mailing Address - Street 2:
Mailing Address - City:PIGGOTT
Mailing Address - State:AR
Mailing Address - Zip Code:72454-8137
Mailing Address - Country:US
Mailing Address - Phone:870-544-2875
Mailing Address - Fax:
Practice Address - Street 1:895 E MAIN ST
Practice Address - Street 2:
Practice Address - City:PIGGOTT
Practice Address - State:AR
Practice Address - Zip Code:72454-2911
Practice Address - Country:US
Practice Address - Phone:870-598-2546
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-08-29
Last Update Date:2008-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist