MEDICARE: KIRSTEN E CROSBY

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	1041C0700X	Clinical Social Worker	69375	TX

General Provider Information

NPI Number	:	1578248993
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KIRSTEN E CROSBY

Provider Business Mailing Address
First Line	:	7800 SHOAL CREEK BLVD STE 105N
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78757-1053
Country	:	US
Telephone Number	:	512-443-7100
Fax Number	:

Provider Business Practice Location Address
First Line	:	806 TRUMAN LN
Second Line	:
City	:	CEDAR PARK
State	:	TX
Zip	:	78613-3263
Country	:	US
Telephone Number	:	512-903-9942
Fax Number	:

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

Provider Enumeration Date	:	06/21/2023
Last Update Date	:	06/21/2023

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Directions to “ KIRSTEN E CROSBY ” Practice Location

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