Healthcare Provider Details

I. General information

NPI: 1750604971
Provider Name (Legal Business Name): WHITNEY D CRAWFORD BS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/02/2010
Last Update Date: 03/02/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2417 E 59TH CT UNIT 4
TULSA OK
74105-7535
US

IV. Provider business mailing address

2417 E 59TH CT UNIT 4
TULSA OK
74105-7535
US

V. Phone/Fax

Practice location:
  • Phone: 918-637-8033
  • Fax:
Mailing address:
  • Phone: 918-637-8033
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225CX0006X
TaxonomyOrientation and Mobility Training Rehabilitation Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: