| Jennifer Crumbley Psyd Inc. | |
|
8304 Office Park Dr Douglasville GA 30134-6935 | |
| (678) 838-9336 | |
| (678) 838-3619 |
| Full Name | Jennifer Crumbley Psyd Inc. |
|---|---|
| Speciality | Psychologist |
| Location | 8304 Office Park Dr, Douglasville, Georgia |
| Authorized Official Name and Position | Jennifer Ann Crumbley-dodson (PSYCHOLOGIST) |
| Authorized Official Contact | 6788389336 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer Crumbley Psyd Inc. 8304 Office Park Dr Douglasville GA 30134-6935 Ph: (678) 838-9336 | Jennifer Crumbley Psyd Inc. 8304 Office Park Dr Douglasville GA 30134-6935 Ph: (678) 838-9336 |
| NPI Number | 1134456700 |
|---|---|
| Provider Enumeration Date | 11/03/2009 |
| Last Update Date | 11/03/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134456700 | NPI | - | NPPES |
| 000966633D | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | PSY002623 (Georgia) | Primary |
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