Mr. Louis Ray Craddock
Psychologist Clinical Psychologist Forensic Psychologist Addiction Psychologist (Substance Use Disorder)
800 Seneca Dr
Belpre
, Ohio 45714-1141
Mr. Louis Ray Craddock
Psychologist Clinical Psychologist Forensic Psychologist Addiction Psychologist (Substance Use Disorder)
800 Seneca Dr
Belpre
, Ohio 45714-1141
(740) 423-6976
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About
Features
Specialties
- Psychologist
- Addiction Psychologist (Substance Use Disorder)
- Clinical Psychologist
- Forensic Psychologist
Languages spoken
- English
Location
First Address
- Mr. Louis Ray Craddock
- 800 Seneca Dr
- Belpre, OH
- Zip : 45714-1141
- Fax : (740) 423-6976
- Phone : (740) 423-4707
Second Address
- Mr. Louis Ray Craddock
- 800 Seneca Dr
- Belpre, OH
- Zip : 45714-1141
- Fax : (740) 423-6976
- Phone : (740) 423-4707
Reviews
FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 102L00000X | Psychologist | 670 | WV |
| N | 103T00000X | Psychologist | 670 | WV |
| N | 103TA0400X | Addiction Psychologist (Substance Use Disorder) | 670 | WV |
| N | 103G00000X | Clinical Psychologist | 670 | WV |
| N | 103TC0700X | Clinical Psychologist | 670 | WV |
| N | 103TF0200X | Forensic Psychologist | 670 | WV |
National Provider Identifier
| NPI | 1629177423 |
|---|---|
| Provider Name | Mr. Louis Ray Craddock |
| First Address | Belpre, OH 45714-1141 |
| Second Address | Belpre, OH 45714-1141 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 21/09/2006 |
| Last Update Date | 09/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 0164801000 | (05) | WV |
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.