Active NPIIndividual providerSole proprietor

Mary C Crenshaw, PHD

Psychologist, Clinical in Norwich, Vermont

NPI Number1861410888
Practice location
11 Beaver Meadow RD, Norwich, VT 05055-9305
Fax
—
Last updated
June 1, 2011

Mary Christine Crenshaw is a Psychologist, Clinical based in Norwich, VT. Mary Christine Crenshaw practices in Norwich, VT and has the professional credentials of PHD. The NPI Number for Mary Christine Crenshaw is 1861410888 and holds a License No. 71955 (VT). The current practice location address for Mary Christine Crenshaw is 11 Beaver Meadow RD, Norwich, VT 05055-9305 and can be reached out via phone at 802-649-2260.

Provider Profile Details

NPI Number
1861410888
Provider Name
Mary Christine Crenshaw
Credential
PHD
Provider Entity Type
Individual
Gender
Female
Address
11 Beaver Meadow RD, Norwich, VT 05055-9305
Phone Number
802-649-2260
Primary Taxonomy
Psychologist, Clinical · 103TC0700X
Sole Proprietor
Yes
Other Names
-- Tina Crenshaw, PHD (Other Name)
Provider Enumeration Date
July 17, 2006
Last Update Date
June 1, 2011
NPI Status
Active

Provider Business Practice Location Address Details

Address
11 Beaver Meadow RD
Norwich, VT 05055-9305
State
Vermont
Zip
05055-9305
Phone Number
802-649-2260
Norwich, VT 05055Get directions →

Provider Business Mailing Address Details

Address
Po Box 162
Thetford Center, VT 05075-0162
City
Thetford Center
State
VT
Zip
05075-0162

License Information

License Number
71955
License State
VT
Taxonomy
Psychologist, Clinical · 103TC0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mary C Crenshaw, PHD?

The NPI number of Mary C Crenshaw, PHD is 1861410888. It was assigned on July 17, 2006 and is currently active in the NPPES registry.

What is the specialty of Mary C Crenshaw, PHD?

Mary C Crenshaw, PHD is registered under the primary taxonomy Psychologist, Clinical (code 103TC0700X), licensed in VT under license number 71955.

Where does Mary C Crenshaw, PHD practice?

The practice location is 11 Beaver Meadow RD, Norwich, VT 05055-9305. The office can be reached at 802-649-2260 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1861410888 directly on the NPPES registry website.

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