Doctor Name: | MRS. AMY L CRABTREE |
NPI Number: | 1396086203 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | 5715 |
Business Practice Address: | 110 N Tennessee Ave La Follette, TN - 377662488 |
Business Phone Number: | 4235627426 |
Business Fax Number: | |
Mailing Address: | 240 W Tyrone Rd, OAK RIDGE |
State: | TN |
Postal Code: | 378306517 |
Phone Number: | 8654821076 |
Fax Number: | 8654816164 |
NPI Enumeration Date: | 03/04/2013 |
NPI Last Update Date: | 03/04/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041S0200X |
License Number: | 5715 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TN |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | School |
Taxonomy Definition: |