Most Relevant Information
Provider Data
| NPI Number: | 1003402488 |
| Provider Name: | INGRID CREW CCC-SLP/L |
| Entity Type: | Individual |
| Taxonomy Code: | 235Z00000X |
| Specialty: | Speech-Language Pathologist |
| License Number: |
Most Important Dates
| Enumeration Date: | 12/18/2020 |
| Last Updated: | 12/19/2020 |
Provider Practice Location
2 HANLEY PARKE
MEDFORD
NJ
080553364
Practice Location Phone/Fax
| Phone: | 8563123600 |
| Fax: | 6096541494 |
Provider Mailing Location
23 GARDENS AVE
BERLIN
NJ
080092128
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |