Organization
CRUMMETT ASSOCIATES, PA
Active
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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