Individual
DR. DANIEL JACOB CROAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
740 S LIMESTONE, LEXINGTON, KY 40536-0001
(859) 218-0526
Mailing address
1222 S PATTERSON BLVD, STE 400, DAYTON, OH 45402-2642
(937) 496-2620
(937) 424-8518
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
140620
KY
Other
Enumeration date
06/15/2018
Last updated
10/17/2019
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