Dr Stephanie R Crockett, PSYD is a
Psychologist - Clinical based in Redwood City, California. Dr Stephanie R Crockett is licensed to practice in California (license number PSY29782) and her current practice location is
1400 Veterans Blvd, Redwood City, California. She can be reached at her office (for appointments etc.) via phone at
(650) 299-6025.
NPI number for Dr Stephanie R Crockett is 1760630172 and her current mailing address is 1400 Veterans Blvd, Redwood City, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1760630172.
Healthcare Provider's Profile
| Full Name | Dr Stephanie R Crockett |
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| Gender | Female |
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| Speciality | Psychologist - Clinical |
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| Location | 1400 Veterans Blvd, Redwood City, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1760630172
- Provider Enumeration Date: 08/28/2008
- Last Update Date: 07/21/2022
Medical Identifiers
Medical identifiers for Dr Stephanie R Crockett such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1760630172 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 103TC0700X | Psychologist - Clinical | PSY29782 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Stephanie R Crockett is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Stephanie R Crockett, PSYD
1400 Veterans Blvd,
Redwood City, CA 94063-2612
Ph: (650) 299-6025 | Dr Stephanie R Crockett, PSYD
1400 Veterans Blvd,
Redwood City, CA 94063-2612
Ph: (650) 299-6025 |
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