| Doctor Name: | ANGELA LYNN CRAWFORD |
| NPI Number: | 1639239122 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PHD |
| License Number: | 0135530 |
| Business Practice Address: | 3220 Pearl St Endwell, NY - 137605758 |
| Business Phone Number: | 6077544520 |
| Business Fax Number: | 6077544021 |
| Mailing Address: | 3220 Pearl St, ENDWELL |
| State: | NY |
| Postal Code: | 137605758 |
| Phone Number: | 6077544520 |
| Fax Number: | 6077544021 |
| NPI Enumeration Date: | 12/12/2006 |
| NPI Last Update Date: | 06/16/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 0135530 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |