Individual
DR. JEREMY PAUL CROSBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
650 N CARRIAGE PKWY STE 125, WICHITA, KS 67208-4513
(316) 358-9104
Mailing address
5500 E KELLOGG DR, WICHITA, KS 67218-1607
(316) 685-2221
(316) 634-3091
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
1209
KS
103TA0400X
Addiction (Substance Use Disorder) Psychologist
1209
KS
103TC0700X
Clinical Psychologist
Primary
1209
KS
103TH0100X
Health Service Psychologist
1209
KS
103TP2701X
Group Psychotherapy Psychologist
1209
KS
Other
Enumeration date
06/14/2006
Last updated
12/20/2021
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