Individual
DR. BRADLEY JOHN CRENSHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
79 S PLEASANT ST, SUITE 6, AMHERST, MA 01002-2370
(413) 259-1017
(413) 259-1017
Mailing address
20 MAPLEWOOD DR, AMHERST, MA 01002-1843
(413) 549-4146
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
6679
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0526886
—
MA
01
—
24757
HEALTH NEW ENGLAND
MA
01
—
62000574
RAILROAD MEDICARE
MA
01
—
W05830
BLUE CROSS/BLUE SHIELD
MA
Enumeration date
04/26/2006
Last updated
12/12/2008
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