Individual
JANE CROCKETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
8115 E INDIAN BEND RD, SCOTTSDALE, AZ 85250-4819
(480) 951-6451
Mailing address
15307 N 93RD WAY, SCOTTSDALE, AZ 85260-2839
(602) 821-6425
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP #1176
AZ
Other
Enumeration date
05/09/2012
Last updated
05/09/2012
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