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Organization

YAEL CRAWFORD PHD INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
YAEL T CRAWFORD PHD (OWNER OF PROFESSIONAL CORPORATION)
(216) 491-3844
Entity
Organization

Contact information

Practice address
21625 CHAGRIN BLVD, STE 200, BEACHWOOD, OH 44122
(216) 491-3844
(216) 491-0155
Mailing address
21625 CHAGRIN BLVD, STE 200, BEACHWOOD, OH 44122
(216) 491-3844
(216) 491-0155

Taxonomy

Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
1894
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0408204
OH
Enumeration date
11/28/2006
Last updated
08/22/2020
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