Provider Demographics
NPI:1376118026
Name:DRAYTON, CREE (MS, CCC-SLP)
Entity Type:Individual
Prefix:
First Name:CREE
Middle Name:
Last Name:DRAYTON
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 1:9453 COMMON BROOK RD APT 302
Mailing Address - Street 2:
Mailing Address - City:OWINGS MILLS
Mailing Address - State:MD
Mailing Address - Zip Code:21117-7587
Mailing Address - Country:US
Mailing Address - Phone:443-518-8141
Mailing Address - Fax:
Practice Address - Street 1:9453 COMMON BROOK RD APT 302
Practice Address - Street 2:
Practice Address - City:OWINGS MILLS
Practice Address - State:MD
Practice Address - Zip Code:21117-7587
Practice Address - Country:US
Practice Address - Phone:443-518-8141
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-05-25
Last Update Date:2021-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD09752235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist