Crotwell, Lara Danielle

Crotwell, Lara Danielle is an sole proprietor health care provider with primary practice located at 2000 Van Ness Ave , San Francisco CA 94109-3023. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Crotwell, Lara Danielle can be contacted via phone (415) 563-6541.

Contact Information

Primary practice address
2000 Van Ness Ave San Francisco CA 94109-3023
Phone: (415) 563-6541
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 000000 California

Profile Details

NPI number 1790424745
LBN Legal business name Crotwell, Lara Danielle
Credentials M.S., CF-SLP
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 28th, 2022
Last updated May 28th, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1790424745 NPPES
California MEDICAID R03701345

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