| Crutchfield Counseling Inc | |
|
1613 Main St Dunedin FL 34698-4759 | |
| (727) 736-3132 | |
| (727) 736-3052 |
| Full Name | Crutchfield Counseling Inc |
|---|---|
| Speciality | Psychologist |
| Location | 1613 Main St, Dunedin, Florida |
| Authorized Official Name and Position | Gloria P Crutchfield (PRESIDENT/PSYCHOLOGIST) |
| Authorized Official Contact | 7277363132 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Crutchfield Counseling Inc Po Box 605 Safety Harbor FL 34695-0605 Ph: (727) 736-3132 | Crutchfield Counseling Inc 1613 Main St Dunedin FL 34698-4759 Ph: (727) 736-3132 |
| NPI Number | 1194911313 |
|---|---|
| Provider Enumeration Date | 09/20/2007 |
| Last Update Date | 06/18/2008 |
| Medicare PECOS PAC ID | 9537238217 |
|---|---|
| Medicare Enrollment ID | O20080521000270 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194911313 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PY5217 (Florida) | Primary |
| 1041C0700X | Social Worker - Clinical | SW4752 (Florida) | Secondary |
| Provider Name | James A Crutchfield |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003904475 PECOS PAC ID: 6002842648 Enrollment ID: I20050714000429 |
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