Individual
MRS. EMILY NICOLE CRUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., CCC-SLP
Contact information
Practice address
1441 S FENBROOK LN, SUITE D, BLOOMINGTON, IN 47401-4176
(646) 298-5246
Mailing address
1441 S FENBROOK LN, SUITE D, BLOOMINGTON, IN 47401-4176
(646) 298-5246
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
22004854A
IN
Other
Enumeration date
08/19/2016
Last updated
08/19/2016
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