Individual
DR. JOANNE WEIDEL CROWSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AUD
Contact information
Practice address
1 ATWELL ROAD, COOPERSTOWN, NY 13326-1394
(800) 227-7399
(607) 547-6552
Mailing address
1 ATWELL ROAD, COOPERSTOWN, NY 13326-1394
(800) 227-7399
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
002257-1
NY
231H00000X
Audiologist
A 01234
OH
235Z00000X
Speech-Language Pathologist
019122-1
NY
235Z00000X
Speech-Language Pathologist
SP 4338
OH
237600000X
Audiologist-Hearing Aid Fitter
A 01234
OH
237700000X
Hearing Instrument Specialist
A 01234
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000002218976
ANTHEM GROUP #
OH
01
—
000000440564
ANTHEM INDIVIDUAL #
OH
05
—
0510772
—
OH
Enumeration date
04/16/2007
Last updated
09/04/2009
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