Organization
CRUMMETT ASSOCIATES, PA
Active
Other names
Elaine Crummett, LPA, LPC
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ELAINE JOHNSON CRUMMETT LPA, LPC (PSYCHOLOGICAL ASSOCIATE)
(704) 880-2384
Entity
Organization
Contact information
Practice address
408 E BROAD ST, STATESVILLE, NC 28677-5329
(794) 880-2384
Mailing address
908 HUNTER ST, STATESVILLE, NC 28677-3532
(704) 880-2517
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
1443 AND 3287
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1245347335
INDIVIDUAL NPI
NC
Enumeration date
07/02/2008
Last updated
07/02/2008
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