Dr. Jefferson Martin Crowe
Clinical Psychologist
8 Faneuil Hall Marketplace # 326
Boston
, Massachusetts 02109-6114
Dr. Jefferson Martin Crowe
Clinical Psychologist
8 Faneuil Hall Marketplace # 326
Boston
, Massachusetts 02109-6114
(303) 304-6528
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About
Features
Specialties
- Clinical Psychologist
Languages spoken
- English
Location
First Address
- Dr. Jefferson Martin Crowe
- 664 Humphrey St Apt 1
- Swampscott, MA
- Zip : 01907-2638
- Phone : (303) 304-6528
Second Address
- Dr. Jefferson Martin Crowe
- 8 Faneuil Hall Marketplace # 326
- Boston, MA
- Zip : 02109-6114
- Phone : (303) 304-6528
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 103G00000X | Clinical Psychologist | 10361 | MA |
| Y | 103TC0700X | Clinical Psychologist | 10361 | MA |
National Provider Identifier
| NPI | 1003294562 |
|---|---|
| Provider Name | Dr. Jefferson Martin Crowe |
| First Address | Swampscott, MA 01907-2638 |
| Second Address | Boston, MA 02109-6114 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 15/05/2015 |
| Last Update Date | 14/02/2019 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1750847844 | NATIONAL PROVIDER IDENTIFIER TYPE 2 (01) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.