Provider Demographics
NPI:1447818299
Name:CROKE, JOANNA RIGBY (MS CCC-SLP)
Entity type:Individual
Prefix:MRS
First Name:JOANNA
Middle Name:RIGBY
Last Name:CROKE
Suffix:
Gender:F
Credentials:MS CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1241 GATEWOOD RD
Mailing Address - Street 2:
Mailing Address - City:NEWPORT NEWS
Mailing Address - State:VA
Mailing Address - Zip Code:23601-2313
Mailing Address - Country:US
Mailing Address - Phone:757-591-4963
Mailing Address - Fax:
Practice Address - Street 1:1241 GATEWOOD RD
Practice Address - Street 2:
Practice Address - City:NEWPORT NEWS
Practice Address - State:VA
Practice Address - Zip Code:23601-2313
Practice Address - Country:US
Practice Address - Phone:757-591-4963
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-06-05
Last Update Date:2019-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2202004202235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist