Provider Demographics
NPI:1639332109
Name:DRUCKER, CRAIG (BC-HIS)
Entity Type:Individual
Prefix:MR
First Name:CRAIG
Middle Name:
Last Name:DRUCKER
Suffix:
Gender:M
Credentials:BC-HIS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9178 GLADES RD
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33434-3904
Mailing Address - Country:US
Mailing Address - Phone:561-488-2207
Mailing Address - Fax:561-852-5935
Practice Address - Street 1:9178 GLADES RD
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33434-3904
Practice Address - Country:US
Practice Address - Phone:561-488-2207
Practice Address - Fax:561-852-5935
Is Sole Proprietor?:No
Enumeration Date:2008-07-05
Last Update Date:2008-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAS-3464237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist