| Doctor Name: | MR. GLENN MITCHELL CRATTY |
| NPI Number: | 1073677142 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | LICSW |
| License Number: | 0890000286 |
| Business Practice Address: | 6256 Vt Rt 30 Pawlet, VT - 057610291 |
| Business Phone Number: | 8023253300 |
| Business Fax Number: | |
| Mailing Address: | Po Box 29, 341 Vt Rt 315 RUPERT |
| State: | VT |
| Postal Code: | 057680029 |
| Phone Number: | 8023947814 |
| Fax Number: | |
| NPI Enumeration Date: | 12/21/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 0890000286 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | VT |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |