Individual
MR. DOUGLAS CRUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D
Contact information
Practice address
1934 NILES CORTLAND RD NE, STE B, WARREN, OH 44484-1055
(330) 841-4032
(330) 841-4381
Mailing address
2980 BELMONT AVE, YOUNGSTOWN, OH 44505-1834
(330) 759-2310
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
2309
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0332063
—
OH
01
—
11580809
CAQH
—
01
—
1487790028
BWC WARREN OFFICE
OH
01
—
1811041684
BWC HOWLAND OFFICE
OH
01
—
3810004016
UNISYS
OH
Enumeration date
03/29/2006
Last updated
03/12/2020
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