Doctor Name: | MR. BRYCE CRAPSER |
NPI Number: | 1235536376 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.A., LPC |
License Number: | 002214 |
Business Practice Address: | 581 Elm St Rocky Hill, CT - 060672003 |
Business Phone Number: | 8607980767 |
Business Fax Number: | |
Mailing Address: | 581 Elm St, ROCKY HILL |
State: | CT |
Postal Code: | 060672003 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 12/03/2014 |
NPI Last Update Date: | 12/03/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 002214 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CT |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |