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NPI Code Detail

MEDICARE: MS. TARA CRABTREE ED.S., NCSP

MEDICARE: MS. TARA CRABTREE ED.S., NCSP
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
1103T00000XPsychologistLSP.01950OH

General Provider Information

NPI Number : 1487590089
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. TARA CRABTREE ED.S., NCSP
Provider Business Mailing Address
First Line : 141 LLOYD RD
Second Line :
City : WEST UNION
State : OH
Zip : 45693-8974
Country : US
Telephone Number : 937-544-5586
Fax Number :
Provider Business Practice Location Address
First Line : 141 LLOYD RD
Second Line :
City : WEST UNION
State : OH
Zip : 45693-8974
Country : US
Telephone Number : 937-544-5586
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/27/2026
Last Update Date : 04/27/2026

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