Provider Demographics
NPI:1801123245
Name:CRAWFORD, DEBRA NEMEC (MA, CCC-A)
Entity type:Individual
Prefix:MRS
First Name:DEBRA
Middle Name:NEMEC
Last Name:CRAWFORD
Suffix:
Gender:F
Credentials:MA, CCC-A
Other - Prefix:MRS
Other - First Name:DEBRA
Other - Middle Name:D
Other - Last Name:NEMEC
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1016 PALO PINTO ST
Mailing Address - Street 2:
Mailing Address - City:WEATHERFORD
Mailing Address - State:TX
Mailing Address - Zip Code:76086-4016
Mailing Address - Country:US
Mailing Address - Phone:817-757-7707
Mailing Address - Fax:817-757-7709
Practice Address - Street 1:1016 PALO PINTO ST
Practice Address - Street 2:
Practice Address - City:WEATHERFORD
Practice Address - State:TX
Practice Address - Zip Code:76086-4016
Practice Address - Country:US
Practice Address - Phone:817-757-7707
Practice Address - Fax:817-757-7709
Is Sole Proprietor?:No
Enumeration Date:2009-11-05
Last Update Date:2014-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
237600000X
TX50949231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter
No231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXTXB144804Medicare PIN