Individual
ELIZABETH A CROUCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
200 CLINIC DR, MADISONVILLE, KY 42431-1661
(270) 825-7200
Mailing address
200 CLINIC DR, MADISONVILLE, KY 42431-1661
(270) 825-7200
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2963
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000592304
ANTHEM BCBS
KY
05
—
7100074230
—
KY
Enumeration date
11/12/2008
Last updated
07/30/2012
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