Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YP1600X | Pastoral Counselor |
NPI | 1285260729 |
---|---|
Provider Name | Dr. Beverly Crump |
First Address | Columbus, OH 43204-1800 |
Second Address | Columbus, OH 43229-5434 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/03/2020 |
Last Update Date | 17/03/2020 |