Doctor Name: | NICHOLAS D. CRALL |
NPI Number: | 1316262645 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.O. |
License Number: | Q1384 |
Business Practice Address: | 2612 Willard Dr Charlottesville, VA - 229034232 |
Business Phone Number: | 4349630324 |
Business Fax Number: | 4809705318 |
Mailing Address: | 501 Faulconer Dr, CHARLOTTESVILLE |
State: | VA |
Postal Code: | 229034980 |
Phone Number: | 4349630324 |
Fax Number: | 4809705318 |
NPI Enumeration Date: | 03/30/2010 |
NPI Last Update Date: | 11/26/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2084A0401X |
License Number: | Q1384 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | TX |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Psychiatry & Neurology |
Taxonomy Specialization: | Addiction Medicine |
Taxonomy Definition: | A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine |