Organization
JENNIFER CRUMBLEY PSYD INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JENNIFER ANN CRUMBLEY-DODSON PSYD (PSYCHOLOGIST)
(678) 838-9336
Entity
Organization
Contact information
Practice address
8304 OFFICE PARK DR, DOUGLASVILLE, GA 30134-6935
(678) 838-9336
(678) 838-3619
Mailing address
8304 OFFICE PARK DR, DOUGLASVILLE, GA 30134-6935
(678) 838-9336
(678) 838-3619
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY002623
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000966633D
—
GA
Enumeration date
11/03/2009
Last updated
11/03/2009
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