Individual
KERMIT CRAWFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
1 BOSTON MEDICAL CTR PL, BOSTON, MA 02118-2908
(617) 414-5245
(617) 638-6836
Mailing address
720 HARRISON AVE, DOB 503, BOSTON, MA 02118-2371
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
MA4747
MA
Other
Enumeration date
07/26/2006
Last updated
06/17/2016
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