Dr. Marie Crawford, Ph.d., Pllc | |
739 Bluff City Highway Suite 5 Bristol TN 37620 | |
(423) 217-1097 | |
(423) 217-1069 |
Full Name | Dr. Marie Crawford, Ph.d., Pllc |
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Speciality | Psychologist |
Location | 739 Bluff City Highway, Bristol, Tennessee |
Authorized Official Name and Position | Marie Eileen Crawford (PRESIDENT) |
Authorized Official Contact | 4232171097 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Dr. Marie Crawford, Ph.d., Pllc 739 Bluff City Highway Suite 5 Bristol TN 37620 Ph: (423) 217-1097 | Dr. Marie Crawford, Ph.d., Pllc 739 Bluff City Highway Suite 5 Bristol TN 37620 Ph: (423) 217-1097 |
NPI Number | 1831579796 |
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Provider Enumeration Date | 06/05/2015 |
Last Update Date | 07/06/2015 |
Medicare PECOS PAC ID | 6608188768 |
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Medicare Enrollment ID | O20150701001770 |
Identifier | Type | State | Issuer |
---|---|---|---|
1831579796 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | 2802 (Tennessee) | Primary |
Provider Name | Marie E Crawford |
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Provider Type | Practitioner - Psychologist Billing Independently |
Provider Identifiers | NPI Number: 1194818096 PECOS PAC ID: 5597067082 Enrollment ID: I20151229002597 |
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