Provider Demographics
NPI:1891978730
Name:CRAIN, SCARLET KAY (MA, CCC-SLP)
Entity Type:Individual
Prefix:MS
First Name:SCARLET
Middle Name:KAY
Last Name:CRAIN
Suffix:
Gender:F
Credentials:MA, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1945 COWDEN AVE
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38104-5211
Mailing Address - Country:US
Mailing Address - Phone:901-497-3381
Mailing Address - Fax:901-725-1938
Practice Address - Street 1:1945 COWDEN AVE
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38104-5211
Practice Address - Country:US
Practice Address - Phone:901-497-3381
Practice Address - Fax:901-725-1938
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-14
Last Update Date:2007-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN0000003539235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist