Individual
BETH ELLEN CROTTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
63 MAIN STREET, BRIDGEWATER, MA 02324-1455
(508) 697-9722
(508) 279-0094
Mailing address
63 MAIN STREET, BRIDGEWATER, MA 02324-2761
(508) 697-9722
(508) 279-0094
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6493
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
211604
MHN/CHAMPUS
MA
01
—
424905
HARVARD PILGRIM
MA
01
—
680014108
RAILROAD MEDICARE
MA
01
—
W10518
BLUE CROSS
MA
Enumeration date
07/24/2006
Last updated
04/21/2011
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