Healthcare Provider Details

I. General information

NPI: 1457686024
Provider Name (Legal Business Name): CROW AND ASSOCIATES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/14/2009
Last Update Date: 10/14/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1716 OAK ST SUITE 11
BAKERSFIELD CA
93301-3040
US

IV. Provider business mailing address

1716 OAK ST SUITE 11
BAKERSFIELD CA
93301-3040
US

V. Phone/Fax

Practice location:
  • Phone: 661-323-5579
  • Fax: 661-323-5575
Mailing address:
  • Phone: 661-323-5579
  • Fax: 661-323-5575

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberPSY15399
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code103TC2200X
TaxonomyClinical Child & Adolescent Psychologist
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State

VIII. Authorized Official

Name: DR. C DONEL CROW
Title or Position: OWNER
Credential: PH.D.
Phone: 661-323-5579