Doctor Name: | MS. JEANNE MARIE CROSBY |
NPI Number: | 1013019785 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS,NCC,LMHC |
License Number: | 001061 |
Business Practice Address: | 111 Smithtown Byp Suite 108 Hauppauge, NY - 117882524 |
Business Phone Number: | 6313891908 |
Business Fax Number: | 6313891827 |
Mailing Address: | 111 Smithtown Byp, Suite 108 HAUPPAUGE |
State: | NY |
Postal Code: | 117882524 |
Phone Number: | 6313891908 |
Fax Number: | 6313891827 |
NPI Enumeration Date: | 09/02/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 001061 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |