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General NPI Number Information
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NPI Number | 1346657855
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Entity Type | Organization
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Legal Business Name | CRAWFPRD PSYCHOLOGY, PLLC
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Dates
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Enumeration Date | 07/16/2014
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 3101 JOE RAMSEY BLVD E STE 103A
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City | GREENVILLE
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State | TX
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Zip | 75401-7762
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Country | US
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Telephone | 972-735-0445
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Fax | 972-692-7861
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Provider Business Mailing Address
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Address Line | 3101 JOE RAMSEY BOULEVARD SUITE 103A
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City | GREENVILLE
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State | TX
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Zip | 75401
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Country | US
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Telephone | 972-735-0445
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Fax | 972-692-7861
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Authorized Official
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Title or Position | OWNER
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Name | DR. ERICA RAE CRAWFORD
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Credential | PSYD
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Telephone | 972-735-0445
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TB0200X
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Taxonomy Name | Cognitive & Behavioral Psychologist
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License Number | 36579
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 103TC1900X
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Taxonomy Name | Counseling Psychologist
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License Number | 36579
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 36579
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License Number State | TX
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