Provider Demographics
NPI:1235935503
Name:CRAGER, MADISON
Entity type:Individual
Prefix:
First Name:MADISON
Middle Name:
Last Name:CRAGER
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5193 W STATE HIGHWAY 7 # B
Mailing Address - Street 2:
Mailing Address - City:NACOGDOCHES
Mailing Address - State:TX
Mailing Address - Zip Code:75964-2346
Mailing Address - Country:US
Mailing Address - Phone:936-671-1608
Mailing Address - Fax:
Practice Address - Street 1:5193 W STATE HIGHWAY 7 # B
Practice Address - Street 2:
Practice Address - City:NACOGDOCHES
Practice Address - State:TX
Practice Address - Zip Code:75964-2346
Practice Address - Country:US
Practice Address - Phone:936-671-1608
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-19
Last Update Date:2025-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX432242355S0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant