Provider Demographics
NPI:1427047356
Name:CREWS, JENNIFER PRITCHARD (MA)
Entity type:Individual
Prefix:MS
First Name:JENNIFER
Middle Name:PRITCHARD
Last Name:CREWS
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:108 22ND AVE SW
Mailing Address - Street 2:STE14
Mailing Address - City:OLYMPIA
Mailing Address - State:WA
Mailing Address - Zip Code:98501-2871
Mailing Address - Country:US
Mailing Address - Phone:360-943-1180
Mailing Address - Fax:360-943-3494
Practice Address - Street 1:108 22ND AVE SW
Practice Address - Street 2:STE14
Practice Address - City:OLYMPIA
Practice Address - State:WA
Practice Address - Zip Code:98501-2871
Practice Address - Country:US
Practice Address - Phone:360-943-1180
Practice Address - Fax:360-943-3494
Is Sole Proprietor?:No
Enumeration Date:2005-10-13
Last Update Date:2015-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALL60585797235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist