Doctor Name: | MS. JODY LYNN CROSS |
NPI Number: | 1346485471 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LMSW |
License Number: | |
Business Practice Address: | 40 A Main St Westhampton Beach, NY - 11978 |
Business Phone Number: | 6312881954 |
Business Fax Number: | 6312881955 |
Mailing Address: | P.o. Box 1348, 40 A Main St. WESTHAMPTON BEACH |
State: | NY |
Postal Code: | 11978 |
Phone Number: | 6312881954 |
Fax Number: | 6312881955 |
NPI Enumeration Date: | 12/03/2008 |
NPI Last Update Date: | 12/03/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |