Provider Demographics
NPI:1831329069
Name:CRAWFORD, DANIELLE N (AUD)
Entity type:Individual
Prefix:
First Name:DANIELLE
Middle Name:N
Last Name:CRAWFORD
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:NORTHWEST CBOC, AUDIOLOGY
Mailing Address - Street 2:13985 W GRAND AVE, SUITE 101
Mailing Address - City:SURPRISE
Mailing Address - State:AZ
Mailing Address - Zip Code:85374
Mailing Address - Country:US
Mailing Address - Phone:225-955-2386
Mailing Address - Fax:
Practice Address - Street 1:NORTHWEST CBOC, AUDIOLOGY
Practice Address - Street 2:13985 W GRAND AVE, SUITE 101
Practice Address - City:SURPRISE
Practice Address - State:AZ
Practice Address - Zip Code:85374
Practice Address - Country:US
Practice Address - Phone:225-955-2386
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-07-22
Last Update Date:2020-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN1535231H00000X
NC10610231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA021061E30Medicare PIN