MRS. TAMARA HOLIMAN CRUTCHFIELD (NPI# 1316076649) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316076649 |
| Entity Type | Individual |
| Full Name | MRS. TAMARA HOLIMAN CRUTCHFIELD |
| Credential | M.S.,C.C,C,-S.L.P. |
| Practice Address |
1807 W Moline St Malvern AR 72104-2645 |
| Mailing Address |
604 Highway 291 S Prattsville AR 72129-9151 |
| Practice Telephone | 5014673166 |
| Mailing Telephone | 8706994423 |
| Enumeration Date | 2007-03-04 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | SP1368 | AR | Speech, Language and Hearing Service Providers |
| Street Address |
1807 W MOLINE ST |
| City | MALVERN |
| State | AR |
| Zip Code | 72104-2645 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366408007 | Amy Jean Kutka | Physical Therapist | 1807 W Moline St, Malvern, AR 72104-2645 | 2006-04-21 |
| 1831616523 | Candace Rogers | Occupational Therapy Assistant | 1807 W Moline St, Malvern, AR 72104-2645 | 2017-08-24 |
| 1093268914 | Fawnda White, Inc. | Speech-Language Pathologist | 1807 W Moline St, Malvern, AR 72104-2645 | 2016-07-27 |
| 1366894628 | Amber Mccrackin LLC | Speech-Language Pathologist | 1807 W Moline St, Malvern, AR 72104-2645 | 2016-07-11 |
| 1568616035 | Jeannie Wilson | Speech-Language Pathologist | 1807 W Moline St, Malvern, AR 72104-2645 | 2008-11-11 |
| 1801947510 | Stacy Elaine Mattox | Occupational Therapist | 1807 W Moline St, Malvern, AR 72104-2645 | 2007-01-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659907707 | Terrence Randell Mitchell | Prosthetist | 991 Mount Willow Rd., Malvern, AR 72104 | 2020-03-20 |
| 1356837959 | American Oncology Partners, P.a. | Internal Medicine | 1001 Schneider Dr Ste 105, Malvern, AR 72104 | 2018-07-06 |
| 1114262839 | Charloda Nolen | Case Manager/Care Coordinator | 1710 E Page, Malvern, AR 72104 | 2012-12-06 |
| 1427349257 | Malvern Physical Therapy and Wellness | Physical Therapist | 1601 Hwy 270 W, Suite 104, Malvern, AR 72104 | 2011-04-27 |
| 1194037069 | Alternative Opportunities | Community/Behavioral Health | 1519 East Page Avenue, Malvern, AR 72104 | 2010-07-08 |
| 1285878991 | Pro-active Rehab Inc. | Physical Therapist | 720 Walco Rd, Suite 240, Malvern, AR 72104 | 2009-04-24 |
| 1932380599 | Vallerie Ahart | Licensed Practical Nurse | 1022 East Page, Malvern, AR 72104 | 2007-11-23 |
| 1104013598 | Vivian Brown | Home Health Aide | 913 Magnolia, Malvern, AR 72104 | 2007-09-28 |
| 1467665919 | Annette Jean Bowersox | Registered Nurse | 1399 Jenny Road, Malvern, AK 72104 | 2007-05-08 |
| 1730305798 | Jacqueline Kilgore LLC | Skilled Nursing Facility | 912 Section Line St, Malvern, AR 72104 | 2007-04-18 |
| Find all providers in zip 72104 | ||||
| Taxonomy Code | 235Z00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Speech-Language Pathologist |
| The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing. |
| Notes: "Scope of Practice in Speech-Language Pathology", American Speech-Language-Hearing Association, 2013. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932576212 | Gina D'ortone | Speech-Language Pathologist | 237 Miner St, Malvern, PA 19355-2500 | 2015-08-21 |
| 1902246564 | Vanessa Brinerllc | Speech-Language Pathologist | 521 Bayne Rd, Malvern, AR 72104-5839 | 2013-06-27 |
| 1245593102 | Kimberly C Edmonds | Speech-Language Pathologist | 5 Dale Ln, Malvern, PA 19355-1203 | 2012-06-16 |
| 1487986253 | Kathy Annette Crumby | Speech-Language Pathologist | 22083 Highway 51, Malvern, AR 72104-3589 | 2010-02-04 |
| 1134328677 | Patrice S Gilbert | Speech-Language Pathologist | 1001 Raintree Ln, Malvern, PA 19355-2662 | 2007-07-14 |
| 1619029360 | Vanessa Ann Joynt | Speech-Language Pathologist | 1233 Brownwood St, Malvern, AR 72104-2201 | 2007-01-16 |
| 1629144241 | Vanessa D Holmes | Speech-Language Pathologist | 1625 S Main St, Malvern, AR 72104-5600 | 2006-11-27 |
| 1750330114 | Jill Marie Sullivan | Speech-Language Pathologist | 307 Canon Lane, Malvern, AR 72104 | 2006-05-10 |
| 1396308466 | Meghan Kincaid | Speech-Language Pathologist | 414 Paoli Pike, Malvern, PA 19355-3311 | 2019-04-15 |
| 1851846828 | Kyler Kelton | Speech-Language Pathologist | 14334 Highway 67, Malvern, AR 72104-7328 | 2016-08-19 |
| Find all providers in MALVERN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.