Provider Demographics
NPI:1225474778
Name:MCCRACKEN, EUNJI HUH (MA)
Entity Type:Individual
Prefix:MRS
First Name:EUNJI
Middle Name:HUH
Last Name:MCCRACKEN
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:EUNJI
Other - Middle Name:
Other - Last Name:HUH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1487 W WOODHILL DR
Mailing Address - Street 2:
Mailing Address - City:BLOOMINGTON
Mailing Address - State:IN
Mailing Address - Zip Code:47403-2114
Mailing Address - Country:US
Mailing Address - Phone:812-606-7376
Mailing Address - Fax:
Practice Address - Street 1:1701 LIBRARY BLVD
Practice Address - Street 2:SUITE A
Practice Address - City:GREENWOOD
Practice Address - State:IN
Practice Address - Zip Code:46142-1567
Practice Address - Country:US
Practice Address - Phone:317-881-9923
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-05-10
Last Update Date:2013-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN46002437A235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist