Provider Demographics
NPI:1447400098
Name:CRUTCHFIELD, CHRISTI (MA, CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:CHRISTI
Middle Name:
Last Name:CRUTCHFIELD
Suffix:
Gender:F
Credentials:MA, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1510 LISBON RD
Mailing Address - Street 2:
Mailing Address - City:SMACKOVER
Mailing Address - State:AR
Mailing Address - Zip Code:71762-9738
Mailing Address - Country:US
Mailing Address - Phone:870-725-3132
Mailing Address - Fax:
Practice Address - Street 1:1510 LISBON RD
Practice Address - Street 2:
Practice Address - City:SMACKOVER
Practice Address - State:AR
Practice Address - Zip Code:71762-9738
Practice Address - Country:US
Practice Address - Phone:870-725-3132
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-19
Last Update Date:2008-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARSP#1349235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist