Provider Demographics
NPI:1699501551
Name:CROWLEY, CAMEREN TAYLOR (MS, CF-SLP)
Entity type:Individual
Prefix:
First Name:CAMEREN
Middle Name:TAYLOR
Last Name:CROWLEY
Suffix:
Gender:F
Credentials:MS, CF-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14335 N PENNSYLVANIA AVE APT B
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73134-6089
Mailing Address - Country:US
Mailing Address - Phone:909-633-0156
Mailing Address - Fax:
Practice Address - Street 1:1701 EXCHANGE AVE
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73108-3020
Practice Address - Country:US
Practice Address - Phone:405-587-6048
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-09
Last Update Date:2024-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OKCF688235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist