Individual
KELLY L CRENSHAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
12 BELLWETHER WAY STE 240, BELLINGHAM, WA 98225-2959
(360) 588-2500
(360) 785-2016
Mailing address
12 BELLWETHER WAY STE 240, BELLINGHAM, WA 98225-2959
(360) 588-2500
(360) 785-2016
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
PY60885078
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PY60885078
DEPARTMENT OF HEALTH
WA
Enumeration date
02/11/2014
Last updated
05/14/2026
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