Jaclyn Rose Crawford, MA, CF-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

COND.2018844-SP Issued in OH

Practice address

130 Wayne Frye Dr
Manchester, OH 45144-9314

Phone

(937) 549-4777

NPI assigned

Aug 20, 2018

Sex

Female

Sole proprietor

Yes

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)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1534723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534723200000",
    "number": "1962982983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1331 MEFFORD HEIGHTS CIR",
            "city": "MAYSVILLE",
            "state": "KY",
            "postal_code": "410569113",
            "telephone_number": "606-782-3173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 WAYNE FRYE DR",
            "city": "MANCHESTER",
            "state": "OH",
            "postal_code": "451449314",
            "telephone_number": "937-549-4777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRAWFORD",
        "first_name": "JACLYN",
        "middle_name": "ROSE",
        "credential": "MA, CF-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-20",
        "last_updated": "2018-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OH",
            "license": "COND.2018844-SP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Community Action Committee of Pike County
• Community Action Committee of Pike County
• Sasha Conley
• Dredan Lee Copeland
• Beverly Jane Cox
• Andrew Ray Culbertson, PEER SUPPORT
• Dinesh Nayak MD Inc.
• Judith Ann Fulton, FNP
• Ruby Vanessa Lee Gilliam, R.N.
• Sandra D. Greenfeather

• Speech-Language Pathologist in Manchester, OH
• Providers in Manchester, OH by specialty
• Speech-Language Pathologist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2018; 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.