Provider Demographics
NPI:1831412634
Name:RAWSON, CRAIG ALLEN (CCC-A)
Entity type:Individual
Prefix:MR
First Name:CRAIG
Middle Name:ALLEN
Last Name:RAWSON
Suffix:
Gender:M
Credentials:CCC-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 2223
Mailing Address - Street 2:
Mailing Address - City:PRESTONSBURG
Mailing Address - State:KY
Mailing Address - Zip Code:41653-2423
Mailing Address - Country:US
Mailing Address - Phone:859-619-0571
Mailing Address - Fax:
Practice Address - Street 1:220 PENNINGTON DR.
Practice Address - Street 2:
Practice Address - City:EAST POINT
Practice Address - State:KY
Practice Address - Zip Code:41216
Practice Address - Country:US
Practice Address - Phone:859-619-0571
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-08
Last Update Date:2010-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY0332231H00000X
KY0760237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
No237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist