Active NPI
Christian Crumbley, M.ED., CCC-SLP
- Speech-Language Pathologist
- Douglas, GA
National Provider Identifier
1790156958
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SLP007514
- Practice address
- 510 Ashley St W
Douglas, GA 31533-2308 - Phone
- (912) 331-0846
- NPI assigned
- Oct 14, 2015
- Sex
- Female
- Sole proprietor
- No
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 | SLP007514 | GA | Primary |
Addresses
Primary practice location
510 Ashley St W
Douglas, GA 31533-2308
Mailing address
510 Ashley St W
Douglas, GA 31533-2308
Phone (912) 331-0846
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
- Credentials
- Master of Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SLP007514 | GA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Speech & Swallowing Clinic, LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
dba The Therapy Tree
- Hearing and Speech Clinic/Center
- Douglas, GA
- NPI 1306026497
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1444780800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1444780800000",
"number": "1790156958",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "510 ASHLEY ST W",
"city": "DOUGLAS",
"state": "GA",
"postal_code": "315332308",
"telephone_number": "912-331-0846"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "510 ASHLEY ST W",
"city": "DOUGLAS",
"state": "GA",
"postal_code": "315332308",
"telephone_number": "912-331-0846"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRUMBLEY",
"first_name": "CHRISTIAN",
"credential": "M.ED., CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-10-14",
"last_updated": "2015-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "GA",
"license": "SLP007514",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Douglas, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.