Organization
CROCKETT & ASSOC. COMM. CLINICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KAREN E CROCKETT PH.D. (SPEECH-LANGUAGE PATHOLOGIST)
(813) 933-0455
Entity
Organization
Contact information
Practice address
2914 BUSCH LAKE BLVD, TAMPA, FL 33614-1859
(813) 933-0455
(813) 933-0457
Mailing address
2914 BUSCH LAKE BLVD, TAMPA, FL 33614-1859
(813) 933-0455
(813) 933-0457
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA774
FL
Other
Enumeration date
09/05/2006
Last updated
08/22/2020
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