Individual
MR. DOUGLAS CRUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D
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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