Individual
MS. MEGHAN DIANE CRAWFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
4850 LOST CREEK DR, GAINESVILLE, GA 30504-9269
(626) 888-1463
(503) 974-0936
Mailing address
5200 MEADOWS RD STE 150, LAKE OSWEGO, OR 97035-0066
(626) 888-1463
(503) 974-0936
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
004800
GA
103T00000X
Psychologist
2409
OR
103T00000X
Psychologist
PSY24764
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500721557
—
OR
Enumeration date
02/27/2007
Last updated
09/10/2024
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