Individual
MRS. KERRY Z CROY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
9040 JACKSON AVE, TACOMA, WA 98431-0001
(253) 968-7916
Mailing address
9040 JACKSON AVE, TACOMA, WA 98431-0001
(253) 968-7916
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1699026757
—
NM
Enumeration date
09/28/2012
Last updated
07/14/2021
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