Doctor Name: | DAVID CRENSHAW |
NPI Number: | 1023156809 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PH.D. |
License Number: | 004376-1 |
Business Practice Address: | 23 East Market Street Rhinebeck, NY - 12572 |
Business Phone Number: | 8458763400 |
Business Fax Number: | 8458768973 |
Mailing Address: | 6369 Mill Street, P.o. Box 286 RHINEBECK |
State: | NY |
Postal Code: | 12572 |
Phone Number: | 8458763400 |
Fax Number: | 8458768973 |
NPI Enumeration Date: | 02/02/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | 004376-1 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |