Provider Demographics
NPI:1316017981
Name:CRAWFORD, MARGARET J (MS SLP)
Entity Type:Individual
Prefix:MRS
First Name:MARGARET
Middle Name:J
Last Name:CRAWFORD
Suffix:
Gender:F
Credentials:MS SLP
Other - Prefix:
Other - First Name:MARGARET
Other - Middle Name:J
Other - Last Name:MCCOLLUM
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS SLP
Mailing Address - Street 1:555 OAKDALE ST STE F
Mailing Address - Street 2:
Mailing Address - City:FOLSOM
Mailing Address - State:CA
Mailing Address - Zip Code:95630-2451
Mailing Address - Country:US
Mailing Address - Phone:916-790-8719
Mailing Address - Fax:916-299-8800
Practice Address - Street 1:555 OAKDALE ST STE F
Practice Address - Street 2:
Practice Address - City:FOLSOM
Practice Address - State:CA
Practice Address - Zip Code:95630-2451
Practice Address - Country:US
Practice Address - Phone:916-790-8719
Practice Address - Fax:916-299-8800
Is Sole Proprietor?:No
Enumeration Date:2006-11-09
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA19114235Z00000X
NVSPA 1089235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV100509653Medicaid