National Provider Identifier

Alexia Mariah Crutchfield, MS.ED., CCC-SLP

Alexia Mariah Crutchfield, MS.ED., CCC-SLP is listed in the NPPES registry with a primary specialty of Speech-Language Pathologist in Medina, NY and a listed phone number of (716) 261-6810.

NPI 1750078341Medina, NYSpeech-Language Pathologist

Profile Overview

NPI
1750078341
Provider Type
Individual
Primary Specialty
Speech-Language Pathologist
Enumeration Date
April 24, 2023
Last Updated
April 24, 2023

Practice Location

  • 600 Bates RD
  • Medina, NY 14103-9706

Phone: (716) 261-6810

Mailing Address

  • 151 Chestnut St
  • Lockport, NY 14094-2947

Specialties

  • Speech-Language Pathologist (235Z00000X)
Full Record
NPI
1750078341
Entity Type
Individual
Last Name
Crutchfield
First Name
Alexia
Middle Name
Mariah
Credential
MS.ED., CCC-SLP
Mailing Street Address
151 Chestnut St
Mailing City
Lockport
Mailing State
NY
Mailing ZIP Code
14094-2947
Mailing Country
US
Mailing Phone
(716) 261-6810
Practice Street Address
600 Bates RD
Practice City
Medina
Practice State
NY
Practice ZIP Code
14103-9706
Practice Country
US
Practice Phone
(716) 261-6810
Enumeration Date
April 24, 2023
Last Updated
April 24, 2023
Sex
Female
Sole Proprietor
No
Certification Date
April 22, 2023
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Speech-Language Pathologist (235Z00000X)