Provider Demographics
NPI:1902990195
Name:WALCHEK, DANA MCCRAW (AUD, F/AAA)
Entity Type:Individual
Prefix:DR
First Name:DANA
Middle Name:MCCRAW
Last Name:WALCHEK
Suffix:
Gender:F
Credentials:AUD, F/AAA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3000 MEADOW LAKE DR STE 108
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35242-0302
Mailing Address - Country:US
Mailing Address - Phone:205-739-2242
Mailing Address - Fax:205-739-2238
Practice Address - Street 1:832 PRINCETON AVE SW
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35211-1320
Practice Address - Country:US
Practice Address - Phone:205-206-8471
Practice Address - Fax:205-206-8367
Is Sole Proprietor?:No
Enumeration Date:2006-10-03
Last Update Date:2024-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL823A231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
ALQ54901Medicare UPIN
AL051556877Medicare ID - Type Unspecified