Laura Jean Crandle, MA, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

7101005256 Issued in MI

Practice address

445 104TH Ave
Holland, MI 49423-9107

Phone

(616) 795-9693

NPI assigned

Jan 31, 2022

Last updated

Jan 31, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1643587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643587200000",
    "number": "1164175162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11600 LAKESHORE DR",
            "city": "GRAND HAVEN",
            "state": "MI",
            "postal_code": "494179662",
            "telephone_number": "616-291-1033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "445 104TH AVE",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494239107",
            "telephone_number": "616-795-9693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRANDLE",
        "first_name": "LAURA",
        "middle_name": "JEAN",
        "credential": "MA, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-31",
        "last_updated": "2022-01-31",
        "certification_date": "2022-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MI",
            "license": "7101005256",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaitlyn Craddock, PHARMD
• Craig N Bade MD (Holland Skin and Vein Center)
• Nathan Cramblet
• Bethany Anne Switter Cramer, MA, LLPC
• Tracy Lynn Crandall, PT
• John A Creviere, MA LPC
• Sarah Lynn Criffield, LPN
• Gabriela M Croese, SPANISH INTERPRETER
• Olivia Crooks
• Katelynn Elizabeth Crosby, LLMSW

• Speech-Language Pathologist in Holland, MI
• Providers in Holland, MI by specialty
• Speech-Language Pathologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.