Organization
CRUTCHFIELD COUNSELING INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GLORIA P CRUTCHFIELD PHD (PRESIDENT/PSYCHOLOGIST)
(727) 736-3132
Entity
Organization
Contact information
Practice address
1613 MAIN ST, DUNEDIN, FL 34698-4759
(727) 736-3132
(727) 736-3052
Mailing address
PO BOX 605, SAFETY HARBOR, FL 34695-0605
(727) 736-3132
(727) 736-3052
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY5217
FL
1041C0700X
Clinical Social Worker
SW4752
FL
Other
Enumeration date
09/20/2007
Last updated
06/18/2008
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