| Dale Crowder, PHD | |
|
1480 Darlington Ave, Crawfordsville, IN 47933-2007 | |
| (765) 362-2852 | |
| (765) 362-2862 |
| Full Name | Dale Crowder |
|---|---|
| Gender | Male |
| Speciality | Psychologist - Clinical |
| Location | 1480 Darlington Ave, Crawfordsville, Indiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154477800 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 20041496 (Indiana) | Primary |
| Entity Name | Valley Oaks Health Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689629990 PECOS PAC ID: 7315927563 Enrollment ID: O20040720001286 |
| Mailing Address | Practice Location Address |
|---|---|
| Dale Crowder, PHD 1480 Darlington Ave, Crawfordsville, IN 47933-2007 Ph: (765) 362-2852 | Dale Crowder, PHD 1480 Darlington Ave, Crawfordsville, IN 47933-2007 Ph: (765) 362-2852 |
Mrs. Ronda Branham, BS, MED, EDS Psychologist Medicare: Not Enrolled in Medicare Practice Location: 305 E Chestnut St, Crawfordsville, IN 47933 Phone: 765-362-4022 Fax: 765-364-3243 | |
Jennifer Mittal, M.ED. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 305 E Chestnut St, Crawfordsville, IN 47933 Phone: 765-362-4022 | |
Shandolyn Aboudou, M.ED., ED.S. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 305 E Chestnut St, Crawfordsville, IN 47933 Phone: 765-362-4022 | |
Stephanie Dianne Rose, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1480 Darlington Ave, Crawfordsville, IN 47933 Phone: 765-362-2852 |