Individual
MR. CRAIG MARVIN CORNICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
SLP
Contact information
Practice address
411 WEST AGENCY SUITE 1, UNIVERSAL THERAPY GROUP, WEST BURLINGTON, IA 52655-1702
(319) 752-7899
Mailing address
411 WEST AGENCY, SUITE 1, UNIVERSAL THERAPY GROUP, WEST BURLINGTON, IA 52655-1702
(319) 752-7899
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
0234
IA
Other
Enumeration date
12/05/2011
Last updated
12/05/2011
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