Provider Demographics
NPI:1407075005
Name:CRAWLEY, PAIGE LAWSON (MS CCC-SLP)
Entity Type:Individual
Prefix:
First Name:PAIGE
Middle Name:LAWSON
Last Name:CRAWLEY
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 1:1922 GLENDON CIR
Mailing Address - Street 2:
Mailing Address - City:PLEASANT GROVE
Mailing Address - State:UT
Mailing Address - Zip Code:84062-8568
Mailing Address - Country:US
Mailing Address - Phone:801-785-6641
Mailing Address - Fax:801-785-6641
Practice Address - Street 1:1922 GLENDON CIR
Practice Address - Street 2:
Practice Address - City:PLEASANT GROVE
Practice Address - State:UT
Practice Address - Zip Code:84062-8568
Practice Address - Country:US
Practice Address - Phone:801-785-6641
Practice Address - Fax:801-785-6641
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT113779-4102235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist