Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TC1900X | Counseling Psychologist | 3035 | OR |
NPI | 1013573286 |
---|---|
Provider Name | Dr. Erin Fuller Crozier |
First Address | Corvallis, OR 97333-7210 |
Second Address | Corvallis, OR 97333-7210 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/05/2019 |
Last Update Date | 27/04/2020 |