Provider Demographics
NPI:1245427327
Name:CRAWFORD, LATOYA (MS, CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:LATOYA
Middle Name:
Last Name:CRAWFORD
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:157 OAK POINTE DR
Mailing Address - Street 2:
Mailing Address - City:PLANTERSVILLE
Mailing Address - State:MS
Mailing Address - Zip Code:38862-6222
Mailing Address - Country:US
Mailing Address - Phone:601-728-7487
Mailing Address - Fax:
Practice Address - Street 1:157 OAK POINTE DR
Practice Address - Street 2:
Practice Address - City:PLANTERSVILLE
Practice Address - State:MS
Practice Address - Zip Code:38862-6222
Practice Address - Country:US
Practice Address - Phone:601-728-7487
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-02
Last Update Date:2016-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS53212235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist