Active NPI
Deborah Helen Craig, SPL
- Speech-Language Pathologist
- Irwin, PA
National Provider Identifier
1295976157
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SL001150L
- Practice address
- 1094 Valley Club Dr
Irwin, PA 15642-9402 - Phone
- (724) 454-2049
- NPI assigned
- Mar 23, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SL001150L | PA | Primary |
Addresses
Primary practice location
1094 Valley Club Dr
Irwin, PA 15642-9402
Mailing address
1094 Valley Club Dr
Irwin, PA 15642-9402
Phone (724) 454-2049
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SL001150L | Other | PA | STATE LICENSURE FOR SPEECH PATHOLOGY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SL001150L | PA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1237766400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1237766400000",
"number": "1295976157",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1094 VALLEY CLUB DR",
"city": "IRWIN",
"state": "PA",
"postal_code": "156429402",
"telephone_number": "724-454-2049"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1094 VALLEY CLUB DR",
"city": "IRWIN",
"state": "PA",
"postal_code": "156429402",
"telephone_number": "724-454-2049"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRAIG",
"first_name": "DEBORAH",
"middle_name": "HELEN",
"name_prefix": "Mrs.",
"credential": "SPL",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-03-23",
"last_updated": "2009-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "PA",
"license": "SL001150L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSURE FOR SPEECH PATHOLOGY",
"identifier": "SL001150L",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Irwin, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.