Healthcare Provider Details

I. General information

NPI: 1912665209
Provider Name (Legal Business Name): MADISON ALLEN CROZIER PSY.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: MADISON ALLEN PSY.D.

II. Dates (important events)

Enumeration Date: 12/03/2021
Last Update Date: 04/29/2026
Certification Date: 04/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7416 S SHERRILL ST
TAMPA FL
33616-2035
US

IV. Provider business mailing address

7416 S SHERRILL ST
TAMPA FL
33616-2035
US

V. Phone/Fax

Practice location:
  • Phone: 617-807-0688
  • Fax:
Mailing address:
  • Phone: 864-350-0724
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberPY11185
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberPSY10000223
License Number StateMA
# 3
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number028048
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: