Individual provider Active NPI

Deborah Helen Craig, SPL

  • Speech-Language Pathologist
  • Irwin, PA
National Provider Identifier
1295976157
Registry record updated Mar 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SL001150L Issued in PA
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

Updated by the provider on Mar 23, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
SL001150LOtherPASTATE 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

LicenseStateTypeSpecialty
SL001150LPAMDSpeech-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.

Verify at the official NPI Registry.