Individual
JEFFREY LLOYD CRAWFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
311-4E JUDGES ROAD, WILMINGTON, NC 28405-3655
(910) 791-6767
(910) 791-6890
Mailing address
2012 TALBOT LN, HICKORY, NC 28602-9165
(704) 300-2290
(828) 294-0367
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
2328
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0411L
BCBSNC
NC
05
—
6000657
—
NC
Enumeration date
09/08/2005
Last updated
03/05/2012
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