Healthcare Provider Details

I. General information

NPI: 1316751167
Provider Name (Legal Business Name): KRISTA CRABTREE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/03/2025
Last Update Date: 02/03/2025
Certification Date: 02/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

939 ELKRIDGE LANDING RD STE 350
LINTHICUM MD
21090-2953
US

IV. Provider business mailing address

1506 JARVISVILLE RD
SALEM WV
26426-8069
US

V. Phone/Fax

Practice location:
  • Phone: 443-354-8903
  • Fax: 443-410-0643
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041S0200X
TaxonomySchool Social Worker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: