| Crutchfield Psychology Inc | |
|
1613 Main St Dunedin FL 34698-4759 | |
| (727) 736-3132 | |
| (727) 472-0338 |
| Full Name | Crutchfield Psychology Inc |
|---|---|
| Speciality | Psychologist |
| Location | 1613 Main St, Dunedin, Florida |
| Authorized Official Name and Position | Gloria P Crutchfield (PRESIDENT) |
| Authorized Official Contact | 7276565753 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Crutchfield Psychology Inc Po Box 1465 Safety Harbor FL 34695-1465 Ph: (727) 458-3014 | Crutchfield Psychology Inc 1613 Main St Dunedin FL 34698-4759 Ph: (727) 736-3132 |
| NPI Number | 1447867361 |
|---|---|
| Provider Enumeration Date | 09/24/2020 |
| Last Update Date | 09/24/2020 |
| Certification Date | 09/16/2020 |
| Medicare PECOS PAC ID | 7214347061 |
|---|---|
| Medicare Enrollment ID | O20201105001195 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447867361 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC1900X | Psychologist - Counseling | (* (Not Available)) | Primary |
| Provider Name | Gloria Pinzon Crutchfield |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1518073188 PECOS PAC ID: 0446286157 Enrollment ID: I20050714000174 |
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