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Organization

MEGHAN CRAWFORD, PSYD, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MEGHAN DIANE CRAWFORD PSYD (PRESIDENT)
(626) 888-1463
Entity
Organization

Contact information

Practice address
4850 LOST CREEK DR, GAINESVILLE, GA 30504-9269
(626) 888-1463
(503) 974-0936
Mailing address
5200 MEADOWS ROAD, STE 150, LAKE OSWEGO, OR 97035
(626) 888-1463
(503) 974-0936

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
500721557
OR
Enumeration date
01/02/2020
Last updated
09/10/2024
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