Provider Demographics
NPI:1194379909
Name:CRABBE, EMILY M (MS CCC-SLP)
Entity type:Individual
Prefix:
First Name:EMILY
Middle Name:M
Last Name:CRABBE
Suffix:
Gender:F
Credentials:MS CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:591 AMERICAN OAKS AVE
Mailing Address - Street 2:
Mailing Address - City:NEWBURY PARK
Mailing Address - State:CA
Mailing Address - Zip Code:91320-5103
Mailing Address - Country:US
Mailing Address - Phone:805-795-0485
Mailing Address - Fax:805-262-2125
Practice Address - Street 1:591 AMERICAN OAKS AVE
Practice Address - Street 2:
Practice Address - City:NEWBURY PARK
Practice Address - State:CA
Practice Address - Zip Code:91320-5103
Practice Address - Country:US
Practice Address - Phone:805-795-0485
Practice Address - Fax:805-262-2125
Is Sole Proprietor?:Yes
Enumeration Date:2019-07-30
Last Update Date:2024-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
235Z00000X
NVSP2613235Z00000X
CASP28723235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist