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General NPI Number Information
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NPI Number | 1891338943
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Entity Type | Organization
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Legal Business Name | DR. CROSBY AND ASSOCIATES, INC.
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Dates
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Enumeration Date | 10/22/2019
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Last Update Date | 05/20/2025
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Provider Practice Location Address
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Address Line | 6497 PARKLAND DR STE A
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City | SARASOTA
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State | FL
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Zip | 34243-4097
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Country | US
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Telephone | 941-681-8260
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Fax | 941-251-8230
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Provider Business Mailing Address
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Address Line | 6497 PARKLAND DR STE A
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City | SARASOTA
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State | FL
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Zip | 34243-4097
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Country | US
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Telephone | 941-681-8260
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Fax | 941-251-8230
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Authorized Official
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Title or Position | OWNER
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Name | DR. JESSICA SULLIVAN
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Credential | PSY. D
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Telephone | 941-681-8260
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number |
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License Number State |
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