Provider Demographics
NPI:1295109411
Name:STANLEY CROWLEY, TAYLER (MA CCC-SLP)
Entity type:Individual
Prefix:
First Name:TAYLER
Middle Name:
Last Name:STANLEY CROWLEY
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 1:3408 HICKORY NECK BLVD
Mailing Address - Street 2:
Mailing Address - City:TOANO
Mailing Address - State:VA
Mailing Address - Zip Code:23168-8731
Mailing Address - Country:US
Mailing Address - Phone:814-594-5025
Mailing Address - Fax:
Practice Address - Street 1:219 BULIFANTS BLVD
Practice Address - Street 2:
Practice Address - City:WILLIAMSBURG
Practice Address - State:VA
Practice Address - Zip Code:23188-5745
Practice Address - Country:US
Practice Address - Phone:757-378-5090
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-11-27
Last Update Date:2024-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2202007586235Z00000X, 235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist