MEDICARE: MARY ANN CRABTREE

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	103T00000X	Psychologist	PS-006756-L	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1841480795
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MARY ANN CRABTREE

Provider Business Mailing Address
First Line	:	4150 WASHINGTON RD
Second Line	:	P.O. BOX 1374
City	:	MC MURRAY
State	:	PA
Zip	:	15317-2534
Country	:	US
Telephone Number	:	724-941-1120
Fax Number	:	724-941-0993

Provider Business Practice Location Address
First Line	:	4150 WASHINGTON RD
Second Line	:	SUITE 105
City	:	MC MURRAY
State	:	PA
Zip	:	15317-2534
Country	:	US
Telephone Number	:	724-941-1120
Fax Number	:	724-941-0993

Authorized Official
Title or Position	:	PSYCHOLOGIST
Name	:	MARY ANN CRABTREE
Credential	:
Telephone Number	:	724-941-1120

Provider Enumeration Date	:	07/26/2007
Last Update Date	:	07/26/2007

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