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Individual

DR. THOMAS JOSEPH CROTTY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PH.D.

Contact information

Practice address
290 E COURT ST, PRESTONSBURG, KY 41653-7932
(606) 205-0712
Mailing address
PO BOX 727, PAINTSVILLE, KY 41240-0727
(606) 789-7451

Taxonomy

Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
KY1074
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
89000970
KY
Enumeration date
02/10/2007
Last updated
07/09/2007
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