MEDICARE: MS. ERIN JUDITH CROWLEY LMFT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106H00000X	Marriage & Family Therapist	MF000812	PA
2	106H00000X	Marriage & Family Therapist	104580	CA

General Provider Information

NPI Number	:	1316330160
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. ERIN JUDITH CROWLEY LMFT

Provider Business Mailing Address
First Line	:	157 W DURHAM ST
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19119-2433
Country	:	US
Telephone Number	:	415-321-9350
Fax Number	:

Provider Business Practice Location Address
First Line	:	314 MOORE ST
Second Line	:
City	:	SANTA CRUZ
State	:	CA
Zip	:	95060-2516
Country	:	US
Telephone Number	:	415-321-9350
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/17/2015
Last Update Date	:	06/03/2025

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