Provider Demographics
NPI:1518302934
Name:CRAIG, ARKIA N (MS CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:ARKIA
Middle Name:N
Last Name:CRAIG
Suffix:
Gender:F
Credentials:MS CCC-SLP
Other - Prefix:MS
Other - First Name:ARKIA
Other - Middle Name:N
Other - Last Name:WILLIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS CCC-SLP
Mailing Address - Street 1:115 ACADEMY ST
Mailing Address - Street 2:
Mailing Address - City:DICKSON
Mailing Address - State:TN
Mailing Address - Zip Code:37055-2013
Mailing Address - Country:US
Mailing Address - Phone:615-446-2085
Mailing Address - Fax:615-441-4132
Practice Address - Street 1:401 E COLLEGE ST
Practice Address - Street 2:
Practice Address - City:DICKSON
Practice Address - State:TN
Practice Address - Zip Code:37055-1833
Practice Address - Country:US
Practice Address - Phone:615-446-2273
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-04-30
Last Update Date:2013-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN12099966235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist