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NPI Code Detail

MEDICARE: WENDY CRAWFORD M.A., N.C.S.P.

MEDICARE: WENDY CRAWFORD M.A., N.C.S.P.
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
1103TS0200XSchool Psychologist803000225VA
2103TS0200XSchool Psychologist0803000225VA

General Provider Information

NPI Number : 1720290984
Entity Type Code : Individual
Provider Name (Legal Business Name) : WENDY CRAWFORD M.A., N.C.S.P.
Provider Business Mailing Address
First Line : 2110 WASHINGTON BLVD
Second Line :
City : ARLINGTON
State : VA
Zip : 22204-5719
Country : US
Telephone Number : 703-228-6181
Fax Number :
Provider Business Practice Location Address
First Line : 2110 WASHINGTON BLVD
Second Line :
City : ARLINGTON
State : VA
Zip : 22204-5719
Country : US
Telephone Number : 703-228-6181
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/03/2007
Last Update Date : 10/03/2024

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