Provider Demographics
NPI:1750347027
Name:CROYLE, CLAUDINE MARIE (AUD)
Entity type:Individual
Prefix:
First Name:CLAUDINE
Middle Name:MARIE
Last Name:CROYLE
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:CLAUDINE
Other - Middle Name:MARIE
Other - Last Name:PENATZER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS/CCC-A
Mailing Address - Street 1:232 WALNUT ST
Mailing Address - Street 2:
Mailing Address - City:JOHNSTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:15901-2913
Mailing Address - Country:US
Mailing Address - Phone:814-535-5508
Mailing Address - Fax:814-536-4943
Practice Address - Street 1:232 WALNUT ST
Practice Address - Street 2:
Practice Address - City:JOHNSTOWN
Practice Address - State:PA
Practice Address - Zip Code:15901-2913
Practice Address - Country:US
Practice Address - Phone:814-535-5508
Practice Address - Fax:814-536-4943
Is Sole Proprietor?:No
Enumeration Date:2006-04-25
Last Update Date:2016-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAAT000869L231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA293899Medicare PIN