MEDICARE: EDWARD ARTHUR CROSSMAN LMFT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106H00000X	Marriage & Family Therapist	MFT35494	CA
2	106H00000X	Marriage & Family Therapist	MFC 35494	CA

General Provider Information

NPI Number	:	1699893305
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EDWARD ARTHUR CROSSMAN LMFT

Provider Business Mailing Address
First Line	:	1374 W MORRIS AVE
Second Line	:
City	:	FRESNO
State	:	CA
Zip	:	93711-2435
Country	:	US
Telephone Number	:	559-438-4027
Fax Number	:

Provider Business Practice Location Address
First Line	:	3636 N 1ST ST STE 123
Second Line	:
City	:	FRESNO
State	:	CA
Zip	:	93726-6818
Country	:	US
Telephone Number	:	559-512-6802
Fax Number	:	559-444-1994

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/27/2007
Last Update Date	:	03/08/2023

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