Individual
DR. JEFFERSON MARTIN CROWE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
8 FANEUIL HALL MARKETPLACE # 326, BOSTON, MA 02109-6114
(303) 304-6528
Mailing address
664 HUMPHREY ST APT 1, SWAMPSCOTT, MA 01907-2638
(303) 304-6528
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
10361
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1750847844
NATIONAL PROVIDER IDENTIFIER TYPE 2
—
Enumeration date
05/15/2015
Last updated
02/14/2019
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