Doctor Name: | DR. THOMAS JOSEPH CROTTY |
NPI Number: | 1033250006 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PH.D. |
License Number: | KY1074 |
Business Practice Address: | 290 E Court St Prestonsburg, KY - 416537932 |
Business Phone Number: | 6062050712 |
Business Fax Number: | |
Mailing Address: | Po Box 727, PAINTSVILLE |
State: | KY |
Postal Code: | 412400727 |
Phone Number: | 6067897451 |
Fax Number: | |
NPI Enumeration Date: | 02/10/2007 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC1900X |
License Number: | KY1074 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | KY |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Counseling |
Taxonomy Definition: |