Individual
DR. KURT RAYMOND CRANDALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
1660 S COLUMBIAN WAY # 112ORT, SEATTLE, WA 98108-1532
(206) 764-2306
Mailing address
525 N HALSTED ST UNIT 312, CHICAGO, IL 60622-6581
(478) 320-8363
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1645
KS
Other
Enumeration date
04/13/2007
Last updated
07/08/2007
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