Provider Demographics
NPI:1568868990
Name:CROWLEY, MAUREEN ELIZABETH TAKALA (AS)
Entity Type:Individual
Prefix:MS
First Name:MAUREEN
Middle Name:ELIZABETH TAKALA
Last Name:CROWLEY
Suffix:
Gender:F
Credentials:AS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1972 DEL PASO RD STE 156
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95834-7725
Mailing Address - Country:US
Mailing Address - Phone:916-575-8800
Mailing Address - Fax:
Practice Address - Street 1:1972 DEL PASO RD STE 156
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95834-7725
Practice Address - Country:US
Practice Address - Phone:916-575-8800
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-11-12
Last Update Date:2014-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CASPA28082355S0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant