Doctor Name: | DR. GAYLE DIAMOND CRESPY |
NPI Number: | 1023177425 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PSY.D. |
License Number: | PS-008486-L |
Business Practice Address: | 349 Meetinghouse Rd Jenkintown, PA - 190462908 |
Business Phone Number: | 2158865331 |
Business Fax Number: | 2155765949 |
Mailing Address: | 349 Meetinghouse Rd, JENKINTOWN |
State: | PA |
Postal Code: | 190462908 |
Phone Number: | 2158865331 |
Fax Number: | 2155765949 |
NPI Enumeration Date: | 12/08/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | PS-008486-L |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |