Provider Demographics
NPI:1699839647
Name:CROSBY, NOEL G (AUD)
Entity Type:Individual
Prefix:DR
First Name:NOEL
Middle Name:G
Last Name:CROSBY
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 1:655 S INDIANA AVE
Mailing Address - Street 2:
Mailing Address - City:ENGLEWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:34223-3705
Mailing Address - Country:US
Mailing Address - Phone:941-474-8393
Mailing Address - Fax:941-474-6057
Practice Address - Street 1:655 S INDIANA AVE
Practice Address - Street 2:
Practice Address - City:ENGLEWOOD
Practice Address - State:FL
Practice Address - Zip Code:34223-3705
Practice Address - Country:US
Practice Address - Phone:941-474-8393
Practice Address - Fax:941-474-6057
Is Sole Proprietor?:No
Enumeration Date:2006-12-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAY89231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLS1190OtherBCBSFL