Individual
ELLEN L CRAWFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
800 ROSE ST, H-149, LEXINGTON, KY 40536-1217
(859) 323-5000
Mailing address
800 ROSE ST, H-149, LEXINGTON, KY 40536-1217
(859) 323-5000
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
130454
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30615058
—
KY
Enumeration date
01/08/2007
Last updated
09/13/2016
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