Provider Demographics
NPI:1699815993
Name:CROTTY, BARBARA LYN DIXON (AUD)
Entity Type:Individual
Prefix:
First Name:BARBARA LYN
Middle Name:DIXON
Last Name:CROTTY
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9400 SOUTH US HWY 17-92
Mailing Address - Street 2:SUITE 1040
Mailing Address - City:MAITLAND
Mailing Address - State:FL
Mailing Address - Zip Code:32751-3352
Mailing Address - Country:US
Mailing Address - Phone:407-644-7960
Mailing Address - Fax:407-644-9503
Practice Address - Street 1:9400 SOUTH US HWY 17-92
Practice Address - Street 2:SUITE 1040
Practice Address - City:MAITLAND
Practice Address - State:FL
Practice Address - Zip Code:32751-3352
Practice Address - Country:US
Practice Address - Phone:407-644-7960
Practice Address - Fax:407-644-9503
Is Sole Proprietor?:No
Enumeration Date:2007-02-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAY1023231H00000X, 231HA2400X, 237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
Not Answered231HA2400XSpeech, Language and Hearing Service ProvidersAudiologistAssistive Technology Practitioner
Not Answered237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter