Individual
DR. DEXTER CRUTHAIM HERDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D., LCSW
Contact information
Practice address
515 28 3/4 RD, GRAND JUNCTION, CO 81501-5016
(970) 263-4918
(970) 683-7278
Mailing address
715 HORIZON DR STE 225, GRAND JUNCTION, CO 81506-8743
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW.00992440
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
992440
LISENSED SOCIAL WORKER AND PHD PSYCHOLOGY
CO
Enumeration date
10/03/2008
Last updated
10/14/2016
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