Individual
DR. JOHN SMITH CRANDELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
125 S CAMERON ST, WINCHESTER, VA 22601-4732
(540) 722-0750
(540) 722-0751
Mailing address
125 S CAMERON ST, WINCHESTER, VA 22601-4732
(540) 722-0750
(540) 722-0751
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0810001152
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
336700
ANTHEM BC/BS
VA
Enumeration date
09/28/2006
Last updated
10/19/2011
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