JEANNETTE CROCKWELL MA
NPI 1265835771
Speech-Language Pathologist in Roseville, CA

Q: What is Jeannette Crockwell's NPI number?

The NPI number for Jeannette Crockwell is 1265835771. It was assigned to this individual provider in the NPPES registry on September 29, 2014. The provider is also known as Jeannette Wyckoff Ma.

Q: What is Jeannette Crockwell's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

Active since September 29, 2014

151 N SUNRISE AVE, SUITE 1105, ROSEVILLE, CA 95661(916) 771-8255(916) 771-8211 Get Directions Write a Review

NPPES record last updated: September 29, 2014. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Jeannette Crockwell Ma NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JEANNETTE CROCKWELL MA (NPI 1265835771) is an individual speech-language pathologist provider in Roseville, California, licensed in California (18814) and active in the NPI registry since September 2014.

NPPES Registry Identity

NPI1265835771

Entity TypeIndividualFemale

Primary Taxonomy235Z00000X

Provider Legal NameJEANNETTE CROCKWELLCredential: MA

Location Address151 N SUNRISE AVE, SUITE 1105Roseville, CA 95661-2924

Mailing Address151 N Sunrise Ave, Suite 1105Roseville, CA 95661-2924 · (916) 771-8255 · Fax (916) 771-8211

Phone(916) 771-8255

Fax(916) 771-8211

Sole ProprietorNo

Enumeration DateSeptember 29, 2014

✔ NPI 1265835771 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers

Taxonomy Code235Z00000X

License✔ Licensed in CA · 18814

Definition

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.

151 N SUNRISE AVE, Roseville, CA 95661

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Other Names 1

Former Name (1)Jeannette Wyckoff Ma

Other Providers at the Same Location NPPES 19

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. KEVIN THOMAS LUONG MD

Specialist

151 N SUNRISE AVE, SUITE 1005
ROSEVILLE, CA 95661

Placer County (916) 782-1217

DR. BRIAN DANIEL THORNTON

Internal Medicine (Nephrology)

151 N SUNRISE AVE, SUITE 611
ROSEVILLE, CA 95661

Placer County (916) 789-1505

DR. TIMOTHY NEIL DOZIER D.C.

Chiropractor

151 N SUNRISE AVE, SUITE 1016
ROSEVILLE, CA 95661

Placer County (916) 782-1223

JENNIFER INGLE PETTIGREW MD

Internal Medicine (Nephrology)

151 N SUNRISE AVE, STE. 611
ROSEVILLE, CA 95661

Placer County (916) 789-1505

MRS. LAI HEUNG CHAN LEE MD

Pediatrics

151 N SUNRISE AVE, SUITE 1310
ROSEVILLE, CA 95661

Placer County (916) 774-6111

OSTEOPOROSIS DIAGNOSTIC CENTER

Radiologic Technologist (Bone Densitometry)

151 N SUNRISE AVE, STE 901
ROSEVILLE, CA 95661

Placer County (916) 786-5595

DR. MONICA SRIVASTAVA MD

Internal Medicine (Nephrology)

151 N SUNRISE AVE, SUITE 611
ROSEVILLE, CA 95661

Placer County (916) 789-1505

MRS. KRISTINA OW RIOS PT

Physical Therapist

151 N SUNRISE AVE, SUITE 1105
ROSEVILLE, CA 95661

Placer County (916) 771-8255

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jeannette Crockwell's NPI number?

The NPI number for Jeannette Crockwell is 1265835771. It was assigned to this individual provider in the NPPES registry on September 29, 2014. The provider is also known as Jeannette Wyckoff Ma.

Where is Jeannette Crockwell located?

Jeannette Crockwell practices at 151 N Sunrise Ave Suite 1105, Roseville, CA 95661. The listed phone number is (916) 771-8255.

What is Jeannette Crockwell's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

When was this NPI record last updated?

The NPPES record for Jeannette Crockwell was last updated on September 29, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.