Healthcare Provider Details

I. General information

NPI: 1164548616
Provider Name (Legal Business Name): ANGELITA MARIA YU-CROWLEY PH.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: ANGELITA MARIA YU-CROWLEY PH.D.

II. Dates (important events)

Enumeration Date: 03/22/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1208 E CHURCHVILLE RD STE 300
BEL AIR MD
21014-3485
US

IV. Provider business mailing address

306 BIGMOUNT CT
ABINGDON MD
21009-1553
US

V. Phone/Fax

Practice location:
  • Phone: 410-879-7060
  • Fax:
Mailing address:
  • Phone: 410-515-1728
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC1900X
TaxonomyCounseling Psychologist
License Number3386
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: