Doctor Name: | DR. PATRICIA LYNN CROWNS |
NPI Number: | 1568597573 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PSY.D. |
License Number: | LP4141 |
Business Practice Address: | 2625 Edgerton St Little Canada, MN - 551171620 |
Business Phone Number: | 6514841544 |
Business Fax Number: | |
Mailing Address: | 1700 Highway 36 W, 516 Rosedale Towers ROSEVILLE |
State: | MN |
Postal Code: | 551134034 |
Phone Number: | 6127288901 |
Fax Number: | |
NPI Enumeration Date: | 02/22/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | LP4141 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MN |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |