Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TC2200X | Clinical Child & Adolescent Psychologist | B1-0000887 | DE |
NPI | 1033498290 |
---|---|
Provider Name | Dr. Emily A Crawford |
First Address | Wilmington, DE 19805-1509 |
Second Address | Wilmington, DE 19805-1509 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/08/2011 |
Last Update Date | 05/08/2011 |