Individual
DR. SETH CROCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
600 CRAWFORD ST, PORTSMOUTH, VA 23704-3820
(757) 722-9961
Mailing address
1214 ROCKBRIDGE AVE, NORFOLK, VA 23508-1338
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0810008552
VA
Other
Enumeration date
08/19/2024
Last updated
08/19/2024
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