Provider Demographics
NPI:1336624063
Name:CRAWFORD, VINCENZA ALESSANDRA
Entity type:Individual
Prefix:
First Name:VINCENZA
Middle Name:ALESSANDRA
Last Name:CRAWFORD
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:134 CHANNEL RD
Mailing Address - Street 2:
Mailing Address - City:CARLSBAD
Mailing Address - State:CA
Mailing Address - Zip Code:92011-3220
Mailing Address - Country:US
Mailing Address - Phone:904-333-8236
Mailing Address - Fax:
Practice Address - Street 1:134 CHANNEL RD
Practice Address - Street 2:
Practice Address - City:CARLSBAD
Practice Address - State:CA
Practice Address - Zip Code:92011-3220
Practice Address - Country:US
Practice Address - Phone:904-333-8236
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-09-27
Last Update Date:2025-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAU4097237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter