Doctor Name: | MS. LAURA CROSBY |
NPI Number: | 1053616094 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LMHC |
License Number: | 39002193A |
Business Practice Address: | 240 N. Tillotson Avenue Muncie, IN - 473043988 |
Business Phone Number: | 7652881928 |
Business Fax Number: | 7657410335 |
Mailing Address: | 240 N. Tillotson Avenue, MUNCIE |
State: | IN |
Postal Code: | 473043988 |
Phone Number: | 7652881928 |
Fax Number: | 7657410335 |
NPI Enumeration Date: | 01/24/2011 |
NPI Last Update Date: | 09/06/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 39002193A |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IN |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |