| Doctor Name: | MRS. REBECCA LYNN CROUCHER |
| NPI Number: | 1043377682 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | ACSW, CSW-R |
| License Number: | 046490 |
| Business Practice Address: | 14 W Genesee St Baldwinsville, NY - 130271105 |
| Business Phone Number: | 3156387643 |
| Business Fax Number: | |
| Mailing Address: | 14 W Genesee St, BALDWINSVILLE |
| State: | NY |
| Postal Code: | 130271105 |
| Phone Number: | 3156387643 |
| Fax Number: | |
| NPI Enumeration Date: | 01/02/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 046490 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |