Doctor Name: | DORIAN CRAWFORD |
NPI Number: | 1558694307 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LMHC |
License Number: | 6102 |
Business Practice Address: | 172 Lafayette St Salem, MA - 019704815 |
Business Phone Number: | 9787441386 |
Business Fax Number: | 9787404996 |
Mailing Address: | 172 Lafayette St, SALEM |
State: | MA |
Postal Code: | 019704815 |
Phone Number: | 9787441386 |
Fax Number: | 9787404996 |
NPI Enumeration Date: | 09/11/2009 |
NPI Last Update Date: | 09/12/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | 6102 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MA |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |