Crutchfield, Bronwynn W

Crutchfield, Bronwynn W is an individual health care provider with primary practice located at 2199 Mount Zion Rd , Jonesboro GA 30236-2525. 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. Crutchfield, Bronwynn W can be contacted via phone (770) 478-0025.

Contact Information

Primary practice address
2199 Mount Zion Rd Jonesboro GA 30236-2525
Phone: (770) 478-0025
Fax: (770) 478-0087
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X SLP004875 Georgia

Profile Details

NPI number 1336134022
LBN Legal business name Crutchfield, Bronwynn W
Credentials M.ED., CCC-SLP
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 19th, 2005
Last updated Jan 29th, 2009 - about 17 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 1336134022 NPPES
Georgia MEDICAID 000894693A

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